ArticleCase reports in orthopedics2026
Delayed Peri-Implant Trochanteric Femoral Fractures After Intramedullary Nailing: Surgical Challenges in an Aging Society: A Two-Case Report.
Article in Case reports in orthopedics, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
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1 citing paper in PubMed.
- Delayed Peri-Implant Trochanteric Femoral Fractures After Intramedullary Nailing: Surgical Challenges in an Aging Society: A Two-Case Report.Case reports in orthopedics · 2026Article
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7 authors.
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Abstract
Introduction: Fractures, including peri-implant femoral fractures, are increasing in aging populations. We present two trochanteric femoral fractures post-intramedullary nailing (IMN), highlighting preoperative planning for refracture risks and implant removal. These cases highlight potential surgical challenges in aging societies. Patient #1: The patient was a 91-year-old Japanese woman with a right trochanteric fracture, 10 years after IMN for a condylar open fracture. IMN removal was impossible; fixation used a dynamic hip screw. The fracture healed at 9-month follow-up. Patient #2: The patient was a 73-year-old Japanese man with a left trochanteric fracture, 14 years post-IMN for a shaft fracture. An intraoperative fracture occurred during IMN removal, requiring later revision surgery. Discussion: In elderly patients, fracture fixation should consider future refracture risks and implant removal needs. Experiences from Japanese orthopedics in a super-aged society offer insights for other aging populations.
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