myAO Editor’s Pick on subtrochanteric and lateral wall fracture during antegrade nailing
In this month’s Editor’s Pick, myAO is featuring a case on Iatrogenic proximal femur fracture which was submitted by Matias Sepulveda in the Lower Extremity discussion group on myAO.
We invite you to review this case of a 27-year-old patient following a high-energy traffic accident, initially managed with temporary external fixation and later treated with antegrade intramedullary nailing. During the procedure, suboptimal entry point and inadequate reaming resulted in a proximal femur lateral wall fracture and a subtrochanteric fracture. This case underscores the importance of precise entry technique, careful reaming, and intra-operative vigilance in preventing iatrogenic complications. See how surgical decision-making impacted the outcome, and share your thoughts and applaud.
