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Retrograde femoral nailing complicated by spurious fracture of the femoral neck. | LitMetric

Retrograde femoral nailing complicated by spurious fracture of the femoral neck.

J Surg Orthop Adv

Department of Orthopaedic Surgery, Wayne State University, University Health Center, 7C, 4201 St. Antoine Boulevard, Detroit, MI 48201, USA.

Published: June 2005

AI Article Synopsis

  • A fracture of the femoral neck along with an ipsilateral diaphyseal femur fracture has been documented, highlighting the need for careful examination of the femoral neck in all femoral shaft fractures to ensure appropriate treatment.
  • During a surgical procedure, an intraoperative radiographic artifact was created from retrograde nailing of a femoral shaft fracture, which could be mistaken for a hidden or surgical-induced fracture of the femoral neck.
  • This report explains the cause of the artifact and how to correctly interpret it to avoid misdiagnosis.

Article Abstract

The presence of a fracture of the femoral neck and ipsilateral diaphyseal femur fracture has been reported previously. In all femoral shaft fractures, scrutiny of the femoral neck is mandatory in order to direct proper management toward this potentially devastating complication. This report discusses a case of an intraoperative radiographic artifact secondary to retrograde nailing of a femoral shaft fracture which may be interpreted as an occult or iatrogenic ipsilateral fracture of the femoral neck. The etiology of this artifact and its proper interpretation are described.

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