J Korean Fract Soc.  2021 Jul;34(3):112-116. 10.12671/jkfs.2021.34.3.112.

Helical Blade Locking Sleeve Disassembly Following Failed Femur Intertrochanter Fracture

Affiliations
  • 1Department of Orthopedic Surgery, St. Carollo Hospital, Suncheon, Korea
  • 2Department of Orthopedic Surgery, Gwangju Veterans Hospital, Gwangju, Korea

Abstract

A helical blade type of hip screw is used widely for the operative management of femoral trochanteric fractures. A 73-year-old female patient was admitted for femoral trochanteric fracture AO/OTA type 31A2.2. A helical blade locking sleeve dissembled 18 weeks after surgery did not achieve accurate reduction. The patient underwent bipolar hip hemiarthroplasty because the fracture reduction was lost, and it was impossible to remove the remaining helical blade without bone loss. The authors report this case of a rare complication of helical blade.

Keyword

Femur; Intertrochanteric fractures; Proximal femoral nail A; Disassembly
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