Breakage in Two Points of a Short and Undersized “Affixus” Cephalomedullary Nail in a Very Active Elderly Female: A Case Report and Review of the Literature
Introduction. Trochanteric fractures of the femur are common in elderly individuals with osteoporosis. The use of cephalomedullary nails is increasing, and they are now the most commonly used fixation devices, especially for the treatment of unstable trochanteric fractures. The nail breakage is not...
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| Format: | Article |
| Language: | English |
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Wiley
2018-01-01
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| Series: | Case Reports in Orthopedics |
| Online Access: | http://dx.doi.org/10.1155/2018/9580190 |
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| author | Giuseppe Rollo Giuseppe Rinonapoli Paolo Pichierri Michele Bisaccia Auro Caraffa Luigi Meccariello |
| author_facet | Giuseppe Rollo Giuseppe Rinonapoli Paolo Pichierri Michele Bisaccia Auro Caraffa Luigi Meccariello |
| author_sort | Giuseppe Rollo |
| collection | DOAJ |
| description | Introduction. Trochanteric fractures of the femur are common in elderly individuals with osteoporosis. The use of cephalomedullary nails is increasing, and they are now the most commonly used fixation devices, especially for the treatment of unstable trochanteric fractures. The nail breakage is not the most common complication of intramedullary nailing. Many scientific papers report nail breakage in a specific location: through the lag screw hole, the nail shaft, or the distal locking hole. Materials and Methods. We present a case of an 84-year-old patient treated with modular revision hip arthroplasty due to the breakage in two points of a cephalomedullary nail implanted 3 years earlier for a subtrochanteric fracture. Results. After modular revision hip arthroplasty, the functional results and quality of life have been excellent. Conclusions. As far as we could determine, this appears to be the first case of a breakage of a cephalomedullary nail in two points after nonunion in a very active elderly female. |
| format | Article |
| id | doaj-art-00cb7416cb6f48b2a930f481d606089d |
| institution | Kabale University |
| issn | 2090-6749 2090-6757 |
| language | English |
| publishDate | 2018-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Orthopedics |
| spelling | doaj-art-00cb7416cb6f48b2a930f481d606089d2025-02-03T01:10:05ZengWileyCase Reports in Orthopedics2090-67492090-67572018-01-01201810.1155/2018/95801909580190Breakage in Two Points of a Short and Undersized “Affixus” Cephalomedullary Nail in a Very Active Elderly Female: A Case Report and Review of the LiteratureGiuseppe Rollo0Giuseppe Rinonapoli1Paolo Pichierri2Michele Bisaccia3Auro Caraffa4Luigi Meccariello5Department of Orthopedics and Traumatology, Vito Fazzi Hospital, Lecce, ItalyDivision of Orthopedics and Trauma Surgery, University of Perugia, “S. Maria della Misericordia” Hospital, Perugia, ItalyDepartment of Orthopedics and Traumatology, Vito Fazzi Hospital, Lecce, ItalyDivision of Orthopedics and Trauma Surgery, University of Perugia, “S. Maria della Misericordia” Hospital, Perugia, ItalyDivision of Orthopedics and Trauma Surgery, University of Perugia, “S. Maria della Misericordia” Hospital, Perugia, ItalyDepartment of Orthopedics and Traumatology, Vito Fazzi Hospital, Lecce, ItalyIntroduction. Trochanteric fractures of the femur are common in elderly individuals with osteoporosis. The use of cephalomedullary nails is increasing, and they are now the most commonly used fixation devices, especially for the treatment of unstable trochanteric fractures. The nail breakage is not the most common complication of intramedullary nailing. Many scientific papers report nail breakage in a specific location: through the lag screw hole, the nail shaft, or the distal locking hole. Materials and Methods. We present a case of an 84-year-old patient treated with modular revision hip arthroplasty due to the breakage in two points of a cephalomedullary nail implanted 3 years earlier for a subtrochanteric fracture. Results. After modular revision hip arthroplasty, the functional results and quality of life have been excellent. Conclusions. As far as we could determine, this appears to be the first case of a breakage of a cephalomedullary nail in two points after nonunion in a very active elderly female.http://dx.doi.org/10.1155/2018/9580190 |
| spellingShingle | Giuseppe Rollo Giuseppe Rinonapoli Paolo Pichierri Michele Bisaccia Auro Caraffa Luigi Meccariello Breakage in Two Points of a Short and Undersized “Affixus” Cephalomedullary Nail in a Very Active Elderly Female: A Case Report and Review of the Literature Case Reports in Orthopedics |
| title | Breakage in Two Points of a Short and Undersized “Affixus” Cephalomedullary Nail in a Very Active Elderly Female: A Case Report and Review of the Literature |
| title_full | Breakage in Two Points of a Short and Undersized “Affixus” Cephalomedullary Nail in a Very Active Elderly Female: A Case Report and Review of the Literature |
| title_fullStr | Breakage in Two Points of a Short and Undersized “Affixus” Cephalomedullary Nail in a Very Active Elderly Female: A Case Report and Review of the Literature |
| title_full_unstemmed | Breakage in Two Points of a Short and Undersized “Affixus” Cephalomedullary Nail in a Very Active Elderly Female: A Case Report and Review of the Literature |
| title_short | Breakage in Two Points of a Short and Undersized “Affixus” Cephalomedullary Nail in a Very Active Elderly Female: A Case Report and Review of the Literature |
| title_sort | breakage in two points of a short and undersized affixus cephalomedullary nail in a very active elderly female a case report and review of the literature |
| url | http://dx.doi.org/10.1155/2018/9580190 |
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