Failure of femoral nailing in the elderly
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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
P Harrington1, I Sharif, H Smyth
1Department of Orthopaedics, St. James's Hospital, Dublin, Ireland.
Archives of Orthopaedic and Trauma Surgery
|January 1, 1997
Abstract:
Failure of fixation of a fracture of the mid-shaft of the femur in a 73-year-old male occurred 4 weeks after insertion of a reamed Grosse-Kempf nail. The oblique locking screw had cut out, despite having been correctly sited at the primary operation. A satisfactory result was obtained following open nailing using an AO nail. Two transverse proximal locking screws provide more certain fixation in osteoporotic bone of elderly patients.