Femoral shaft fracture below a pre-existing implant: A novel method of Wxation: A case report

Varatharaj Mounasamy, Jibananada Satpathy, Mark C. Willis

Research output: Contribution to journalReview article


Femoral shaft fractures below or above a preexisting implant in the elderly are not uncommon, and the ideal management of these fractures is not well deWned. We report the use of a retrograde femoral nail for a femoral shaft fracture, linked to a pre-existing hip plate screw construct by locking the nail through the distal two holes of the plate. We were able to achieve a biomechanically stable construct with no gapped areas and no stress risers in osteopenic bone. This technique is one of the various methods that can be chosen to Wx a fracture with a pre-existing implant proximally.

Original languageEnglish (US)
Pages (from-to)423-426
Number of pages4
JournalEuropean Journal of Orthopaedic Surgery and Traumatology
Issue number5
StatePublished - Jul 1 2012



  • Dynamic hip screw
  • Fracture
  • Retrograde nail

ASJC Scopus subject areas

  • Surgery
  • Orthopedics and Sports Medicine

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