Prevention of potential fracture between two implants using interlocking bipolar cut short GK nail and Enders nail

Arch Orthop Trauma Surg. 1997;116(4):229-32. doi: 10.1007/BF00393717.

Abstract

A technique to prevent a potential fracture occurring between the distal end of a cementless hip prosthesis and the proximal end of a dynamic compression screw (DCS) is described. The method involves bridging the two implants using a bipolar shortened femoral nail, which is further improved by filling the gap between the stem and the femoral nail with an Enders nail. The distal connection is secured by placing the distal locking screw of the femoral nail through the distal femoral plate of the dynamic compression plate first before locking the nail to the distal femur. Further stabilisation and promotion of healing at the distal femur were achieved using cement and bone graft.

Publication types

  • Case Reports

MeSH terms

  • Aged
  • Aged, 80 and over
  • Arthroplasty / instrumentation*
  • Arthroplasty / methods
  • Bone Screws*
  • Female
  • Femoral Fractures / diagnostic imaging
  • Femoral Fractures / prevention & control*
  • Femoral Neck Fractures / diagnostic imaging
  • Femoral Neck Fractures / surgery*
  • Fracture Fixation, Internal / instrumentation*
  • Fracture Fixation, Internal / methods
  • Fracture Healing / physiology
  • Hip Prosthesis*
  • Humans
  • Knee Injuries / diagnostic imaging
  • Radiography
  • Weight-Bearing