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Published on: November 13, 2016
Missed Distal Femoral Cortical Perforation During Intramedullary Nailing of an Intertrochanteric Femur Fracture: The
Yekeen Abu-Shiraz1, Matthew S Smith2, Joshua Bryan3
1Medicine, Virginia Commonwealth University School of Medicine, Richmond, USA.
Abstract:
Distal femoral anterior cortical perforation is a rare complication of intramedullary nailing for proximal femur fractures. Awareness and intraoperative preventive measures are key to minimizing the risk of this complication. We report a case of a patient who experienced an anterior cortical breach of the distal femur during routine antegrade nailing for an intertrochanteric fracture, which was attributed to a sclerotic lesion in the distal femur. Additionally, we describe the management of this complication, along with an analysis of risk factors and effective prevention strategies.

