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. 2012 Nov;46(6):718-20.
doi: 10.4103/0019-5413.104240.

Use of Huckstep nail in the periimplant femoral shaft fracture

Hong Kyun Kim  1 , Kyu Cheol Noh, Kook Jin Chung, Ji Hyo Hwang
Affiliations

Use of Huckstep nail in the periimplant femoral shaft fracture

Hong Kyun Kim et al. Indian J Orthop. 2012 Nov.

Abstract

87-year-old female underwent open reduction of distal femoral fracture and internal fixation with locking compression plate and bone graft. She was operated for ipsilateral proximal femoral fractures and stabilized by intramedullary interlocked nail 5 years ago. She developed stress fracture proximal to locked plate. We inserted Huckstep nail after removal of the previous operated proximal femoral nail without removing the remaining plate and screws. At 15 month followup the fractures have united. The Huckstep nail has multiple holes available for screw fixation at any level in such difficult situations.

Keywords: Femur; Huckstep nail; periimplant fracture; stress riser.

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Conflict of interest statement

Conflict of Interest: None.

Figures

Figure 1
Figure 1
Initial X-ray on the day of trauma shows supracondylar area fracture which is extended to the intraarticular area (a, b)
Figure 2
Figure 2
Postoperative anteroposterior (a) and lateral (b) radiographs of the left distal femur revealing a good reduction
Figure 3
Figure 3
X-rays of the thigh anteroposterior view (a) and lateral view (b) shows stress riser fracture between the distal tip of the previous nail and proximal tip of the LCP plate on the postoperative 8th day
Figure 4
Figure 4
Immediate postoperative anteroposterior (a) and lateral (b) radiographs of the left femur showing newly inserted Huckstep nail without removal of the previous LCP
Figure 5
Figure 5
Final followup at 15 months postoperative anteroposterior (a) and lateral (b) views of the left femur showing wellaligned and united previous fracture site
See this image and copyright information in PMC

References

    1. Platzer P, Schuster R, Aldrian S, Prosquill S, Krumboeck A, Zehetgruber I, et al. Management and outcome of periprosthetic fractures after total knee arthroplasty. J Trauma. 2010;68:1464–70. - PubMed
    1. Ehlinger M, Bonnomet F, Adam P. Periprosthetic femoral fracture: The minimally invasive fixation option. Orthop Traumatol Surg Res. 2010;96:304–9. - PubMed
    1. Huckstep RL. The Huckstep intramedullary compression nail. Indications, technique, and results. Clin Orthop Relat Res. 1986;212:48–61. - PubMed
    1. Kim SK, Lee GB, Oh SJ, Ko CH. Rigid fixation with Huckstep nail in difficult femoral fractures. J Korean Orthop Assoc. 1988;23:1313–24.
    1. Cho SH, Chung ST, Park HB, Ha YC, Kim BK, Jeong JH, Hwang SC. Huckstep nail in the treatment of a femur fracture. J Korean Orthop Assoc. 2007;42:38–44.

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