Are Cephalomedullary Nail Guides Accurate? A Case Report of an Unexpected Complication After Nailing an Intertrochanteric Femoral Fracture

Figures

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  Figure 1.. Anteroposterior and lateral views of the right hip showing reverse obliquity intertrochanteric femoral fracture (OTA-A3.3).

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  Figure 2.. Intraoperative fluoroscopy showing satisfactory reduction and implant position.

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  Figure 3.. Postoperative X-ray demonstrating that the lag screw is outside the nail on the lateral view with significant rotation of the distal fragment as the distal locking cannot be seen in the anteroposterior (AP) view.

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  Figure 4.. Intraoperative fluoroscopy confirming that the lag screw is inside the nail.

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  Figure 5.. Final radiographs at 2-year follow-up showing complete healing of the fracture.