Management and prevention of iatrogenic ipsilateral femoral neck fracture during intramedullary nailing of femoral shaft

doi:10.5312/wjo.v17.i4.116107

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World Journal of Orthopedics

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2218-5836

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Baishideng Publishing Group Inc, 7041 Koll Center Parkway, Suite 160, Pleasanton, CA 94566, USA

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Copyright: ©Author(s) 2026. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution-NonCommercial (CC BY-NC 4.0) license. No commercial re-use. See permissions. Published by Baishideng Publishing Group Inc.

World J Orthop. Apr 18, 2026; 17(4): 116107
Published online Apr 18, 2026. doi: 10.5312/wjo.v17.i4.116107

Table 2 Association between timing of diagnosis and fixation strategy, n (%)

Timing of diagnosis	Number of cases	Common fixation method(s)	Mean surgical duration (minute)	Union achieved at 12 months
Intraoperative	14	Long PFN, CCS	110 ± 15	12/14 (85.7)
Immediate post-operation	1	CCS	125	1/1 (100)
Delayed post-operation (≤ 4 weeks)	3	CCS, hemiarthroplasty	145 ± 20	1/3 (33.3)

PFN: Proximal femoral nail; CCS: Cannulated cancellous screw.

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Citation: Nallakumarasamy A, Vetrivel VN, Balaji VP, Yadav R, Jeyaraman N, Muthu S, Jeyaraman M. Management and prevention of iatrogenic ipsilateral femoral neck fracture during intramedullary nailing of femoral shaft. World J Orthop 2026; 17(4): 116107
URL: https://www.wjgnet.com/2218-5836/full/v17/i4/116107.htm
DOI: https://dx.doi.org/10.5312/wjo.v17.i4.116107

Nallakumarasamy A, Vetrivel VN, Balaji VP, Yadav R, Jeyaraman N, Muthu S, Jeyaraman M. Management and prevention of iatrogenic ipsilateral femoral neck fracture during intramedullary nailing of femoral shaft. World J Orthop 2026; 17(4): 116107 [DOI: 10.5312/wjo.v17.i4.116107]

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