Abstract
Complications of treatment with intramedullary nail of lateral femoral fractures can be divided in intraoperative and postoperative. Intraoperative complications are usually related to poor fracture reduction, to the target device, to inadequate X-ray control and to incorrect nail introduction. Postoperative complications are usually related to synthesis malpositioning, to poor fracture reduction, to lateral fractures engaging the femoral neck and generating an unstable fracture, to bone stock loss in low proximal femoral fractures and to fracture non-union.
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Harvin JA, Harvin WH, Camp E et al. (2012) Early femur fracture fixation is associated with a reduction in pulmonary complications and hospital charges: a decade of experience with 1,376 diaphyseal femur fractures. J Trauma Acute Care Surg 73:1442–1448. Discussion 1448–1449
Curtis MJ, Jinnah RH, Wilson V, Cunningham BW (1994) Proximal femoral fractures: a biomechanical study to compare intramedullary and extramedullary fixation. Injury 25:99–104
Heyse-Moore GH, MacEachern AG, Evans DC (1983) Treatment of intertrochanteric fractures of the femur. A comparison of the Richards screw-plate with the Jewett nail-plate. J Bone Jt Surg Br 65:262–267
Boriani S, De Iure F, Bettelli G et al. (1994) The results of a multicenter Italian study on the use of the Gamma nail for the treatment of pertrochanteric and subtrochanteric fractures: a review of 1181 cases. Chir Organi Mov 79:193–203
Barquet A, Francescoli L, Rienzi D, López L (2000) Intertrochanteric-subtrochanteric fractures: treatment with the long Gamma nail. J Orthop Trauma 14:324–328
Kukla C, Heinz T, Gaebler C et al. (2001) The standard Gamma nail: a critical analysis of 1,000 cases. J Trauma 51:77–83
Bojan AJ, Beimel C, Taglang G et al. (2013) Critical factors in cut-out complication after Gamma Nail treatment of proximal femoral fractures. BMC Musculoskelet Disord 14:1
Andruszkow H, Frink M, Frömke C et al. (2012) Tip apex distance, hip screw placement, and neck shaft angle as potential risk factors for cut-out failure of hip screws after surgical treatment of intertrochanteric fractures. Int Orthop 36:2347–2354
De Vries JS, Kloen P, Borens O et al. (2006) Treatment of subtrochanteric nonunions. Injury 37:203–211
Niikura T, Lee SY, Sakai Y et al. (2013) Nonunion with breakage of gamma nail and subsequent fracture in the ipsilateral femur. Case Rep Med 2013:534570
Kasimatis GB, Lambiris E, Tyllianakis M et al. (2007) Gamma nail breakage: a report of four cases. J Orthop Surg (Hong Kong) 15:368–372
Young S, Lie SA, Hallan G et al. (2013) Risk factors for infection after intramedullary nail operations in low- and middle-income countries. World J Surg 37:349–355
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Pascarella, R., Politano, R., Maresca, A. et al. Come affrontare e prevenire le complicanze e gli insuccessi nelle fratture laterali del collo del femore trattate con l’inchiodamento endomidollare. LO SCALPELLO 27, 70–75 (2013). https://doi.org/10.1007/s11639-013-0023-y
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DOI: https://doi.org/10.1007/s11639-013-0023-y