Reports a novel complication of subcapital fracture following intertrochanteric fracture fixation with a McLaughlin nail plate, possibly due to prolonged non-weight-bearing and inadequate fixation.
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Alerts to rare subcapital fracture after McLaughlin fixation; leaves open causal role of non-weight-bearing or fixation.
A previously undescribed type of fracture of the neck of femur occurred following intertrochanteric fracture fixation with a McLaughlin nail plate in an 80-year-old woman. This complication was probably caused by prolonged non-weight-bearing and inadequate fixation. The complication possibly could have been avoided by use of a dynamic hip screw and early weight-bearing.
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J. Wilson-MacDonald (1985) studied this question.
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