Antegrade insertion of a retrograde intramedullary femoral nail for treatment of a subtrochanteric pathological femoral shaft fracture in a patient with pre-existing coxa vara
Objective: We report the unorthodox use of a retrograde intramedullary nail via antegrade technique for the treatment of a subtrochanteric pathological femur fracture in the presence of significant coxa vara. No similar use has been documented previously in literature. Methods: A standard approach t...
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| Format: | Article |
| Language: | English |
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Elsevier
2022-08-01
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| Series: | Radiology Case Reports |
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| Online Access: | http://www.sciencedirect.com/science/article/pii/S1930043322003958 |
| _version_ | 1828794565759336448 |
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| author | Ravi Patel, MBBS Daniel Omonbude, MBBS, MRCSEd, FRCS (Tr & Orth) Victor Lu, MB, BChir Majeed Shakokani, MBBS, MRCS, FRCS (Tr & Orth) |
| author_facet | Ravi Patel, MBBS Daniel Omonbude, MBBS, MRCSEd, FRCS (Tr & Orth) Victor Lu, MB, BChir Majeed Shakokani, MBBS, MRCS, FRCS (Tr & Orth) |
| author_sort | Ravi Patel, MBBS |
| collection | DOAJ |
| description | Objective: We report the unorthodox use of a retrograde intramedullary nail via antegrade technique for the treatment of a subtrochanteric pathological femur fracture in the presence of significant coxa vara. No similar use has been documented previously in literature. Methods: A standard approach to the proximal right femur was performed and standard antegrade technique used to introduce a guide wire into the proximal femur after which the femoral shaft was reamed. A 38-cm long 10 mm diameter retrograde nail was attached to the retrograde insertion and targeting device as if to perform a left sided retrograde femoral nailing. The nail was then inserted antegrade into the proximal right femur and locked. Results: The patient made a good recovery without complications and was followed up regularly at the clinic until complete healing of the fracture. Conclusion: We believe that a retrograde intramedullary nail inserted antegrade, enabling proximal locking with screws passing into the femoral head, provides a mechanically sound fixation of a subtrochanteric fracture, where a reduced neck-shaft angle precludes the use of a standard cephalo-medullary nail. |
| first_indexed | 2024-12-12T03:47:42Z |
| format | Article |
| id | doaj.art-3b5cbc8bcfea467a9e4a67cc9a15a77d |
| institution | Directory Open Access Journal |
| issn | 1930-0433 |
| language | English |
| last_indexed | 2024-12-12T03:47:42Z |
| publishDate | 2022-08-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Radiology Case Reports |
| spelling | doaj.art-3b5cbc8bcfea467a9e4a67cc9a15a77d2022-12-22T00:39:29ZengElsevierRadiology Case Reports1930-04332022-08-0117828152819Antegrade insertion of a retrograde intramedullary femoral nail for treatment of a subtrochanteric pathological femoral shaft fracture in a patient with pre-existing coxa varaRavi Patel, MBBS0Daniel Omonbude, MBBS, MRCSEd, FRCS (Tr & Orth)1Victor Lu, MB, BChir2Majeed Shakokani, MBBS, MRCS, FRCS (Tr & Orth)3Department of Trauma and Orthopaedics, Diana Princess of Wales Hospital, DN33 2BA, Grimsby, United Kingdom; Corresponding author.Department of Trauma and Orthopaedics, Diana Princess of Wales Hospital, DN33 2BA, Grimsby, United KingdomDepartment of Trauma and Orthopaedics, Addenbrooke's Hospital, CB2 0QQ, United KingdomDepartment of Trauma and Orthopaedics, Diana Princess of Wales Hospital, DN33 2BA, Grimsby, United KingdomObjective: We report the unorthodox use of a retrograde intramedullary nail via antegrade technique for the treatment of a subtrochanteric pathological femur fracture in the presence of significant coxa vara. No similar use has been documented previously in literature. Methods: A standard approach to the proximal right femur was performed and standard antegrade technique used to introduce a guide wire into the proximal femur after which the femoral shaft was reamed. A 38-cm long 10 mm diameter retrograde nail was attached to the retrograde insertion and targeting device as if to perform a left sided retrograde femoral nailing. The nail was then inserted antegrade into the proximal right femur and locked. Results: The patient made a good recovery without complications and was followed up regularly at the clinic until complete healing of the fracture. Conclusion: We believe that a retrograde intramedullary nail inserted antegrade, enabling proximal locking with screws passing into the femoral head, provides a mechanically sound fixation of a subtrochanteric fracture, where a reduced neck-shaft angle precludes the use of a standard cephalo-medullary nail.http://www.sciencedirect.com/science/article/pii/S1930043322003958Retrograde intramedullary femoral nailSubtrochantericPathological fractureCoxa vara |
| spellingShingle | Ravi Patel, MBBS Daniel Omonbude, MBBS, MRCSEd, FRCS (Tr & Orth) Victor Lu, MB, BChir Majeed Shakokani, MBBS, MRCS, FRCS (Tr & Orth) Antegrade insertion of a retrograde intramedullary femoral nail for treatment of a subtrochanteric pathological femoral shaft fracture in a patient with pre-existing coxa vara Radiology Case Reports Retrograde intramedullary femoral nail Subtrochanteric Pathological fracture Coxa vara |
| title | Antegrade insertion of a retrograde intramedullary femoral nail for treatment of a subtrochanteric pathological femoral shaft fracture in a patient with pre-existing coxa vara |
| title_full | Antegrade insertion of a retrograde intramedullary femoral nail for treatment of a subtrochanteric pathological femoral shaft fracture in a patient with pre-existing coxa vara |
| title_fullStr | Antegrade insertion of a retrograde intramedullary femoral nail for treatment of a subtrochanteric pathological femoral shaft fracture in a patient with pre-existing coxa vara |
| title_full_unstemmed | Antegrade insertion of a retrograde intramedullary femoral nail for treatment of a subtrochanteric pathological femoral shaft fracture in a patient with pre-existing coxa vara |
| title_short | Antegrade insertion of a retrograde intramedullary femoral nail for treatment of a subtrochanteric pathological femoral shaft fracture in a patient with pre-existing coxa vara |
| title_sort | antegrade insertion of a retrograde intramedullary femoral nail for treatment of a subtrochanteric pathological femoral shaft fracture in a patient with pre existing coxa vara |
| topic | Retrograde intramedullary femoral nail Subtrochanteric Pathological fracture Coxa vara |
| url | http://www.sciencedirect.com/science/article/pii/S1930043322003958 |
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