학술논문
Femoral head avascular necrosis after interlocking nail of a femoral shaft fracture in a male adult: a case report
Document Type
Report
Source
Archives of Orthopaedic and Trauma Surgery. April, 2008, Vol. 128 Issue 4, p399, 4 p.
Subject
Language
English
ISSN
0936-8051
Abstract
Reamed interlocking nail through the piriformis fossa remains the golden standard for treatment of femoral shaft fracture. Fracture healing rates are 95--99%, and infection rates less than 1% (Clawson et al. in J Bone Joint Surg (Am) 53:681--692, 1971 Winquist et al. in J Bone Joint Surg (Am) 66:529--539, 1984 Brumback et al. in J Bone Joint Surg (Am) 70:1453--1462, 1988). Previous reports recognize avascular necrosis of the femoral head as a complication of antegrade interlocking nail in the adolescent (Beaty et al. in J Pediatr Orthop 14:178--183, 1994 Mileski et al. in J Bone Joint Surg (Am) 76:1706--1708, 1994 O'Malley et al. in J Pediatr Orthop 15:21--23, 1995 Buckaloo et al. in J Southern Orthop Assoc 6(2):97--100, 1997). This report describes a male adult who developed avascular necrosis of the femoral head after an open antegrade interlocking nail of a proximal third femoral shaft fracture. To our knowledge, there is no similar report in the English medical literature.