Extracapsular Proximal Femoral Fracture Intramedullary Nailing Failed Fixation

Abstract

Fixation failure in the proximal femur is an uncommon phenomenon, occurring most commonly as a result of biomechanical failure. This may be due to failure to achieve reduction or utilisation of an incorrect entry point, both of which can result in a varus deformity. Where this occurs, the proximal femur must be valgised and rigidly secured. If there is a residual bone defect it will require management with either autograft, allograft or a bone substitute.