Related Experiment Video
Updated: Aug 18, 2026

Treatment with Locking Intramedullary Nailing for Intertrochanteric Fracture of the Femur Utilizing a New Awl with a Distal Positioner
Published on: June 6, 2025
Reduction of high dislocation of the hip using a distraction nail before arthroplasty
R Baumgart1, M Krammer, A Winkler
1Department of Surgery, University of Munich, Nussbaumstrasse 20, D-80336 Munich, Germany. rainer.baumgart@med.uni-muenchen.de
Abstract:
We report the case of a 22-year-old woman who underwent plate and screw fixation for a traumatic left acetabular fracture and fixation with cancellous screws for an associated femoral neck fracture. Two months later, the internal fixation became infected and was removed. This resulted in a painful high dislocation of the hip. We solved the problem with continuous soft-tissue distraction using a fully implantable motorised distraction nail in order to reduce the proximal femur prior to total hip arthroplasty. To our knowledge, this is the first time that reduction of a high dislocation of the hip has been performed using such a system.
