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Treatment with Locking Intramedullary Nailing for Intertrochanteric Fracture of the Femur Utilizing a New Awl with a Distal Positioner
Published on: June 6, 2025
Unusual Complication after Intramedullary Nailing of an Intertrochanteric Fracture
Sophie Merckaert1, Stefan Hefer2, Alain Akiki2
1Department of Orthopedics, Inselspital Bern, Switzerland.
Abstract:
Intramedullary nails have gained popularity for the treatment of intertrochanteric fractures. Cephalic screw cutout, non-union, nail breakage, intraoperative fractures, and peri-implant fractures are complications of these implants and have been well described. This case report describes an unusual complication in an 89-year-old woman presenting with a femoral neck fracture with an intramedullary nail in place without implant failure or non-union after having been successfully treated three years previously for an intertrochanteric fracture.

