case_images: PMC3671522_01
case_images: Radiograph showing an unstable trochanteric fracture of the right femur classified as 31-A2.2 according to the Orthopaedic Trauma Association classification.
case_images: CRIM.ORTHOPEDICS2013-172352.001.jpg
case_images: PMC3671522_01_CRIM.ORTHOPEDICS2013-172352.001.jpg
case_images: fig1
case_images: An 83-year-old woman initially presented at another hospital with an unstable trochanteric fracture (Orthopaedic Trauma Association classification 31-A2.2) of her right femur after falling from a standing height (Figure 1).
case_images: Radiograph showing insufficient reduction of the trochanteric fracture after implantation of the Gamma 3 nail.
case_images: CRIM.ORTHOPEDICS2013-172352.002.jpg
case_images: PMC3671522_01_CRIM.ORTHOPEDICS2013-172352.002.jpg
case_images: fig2
case_images: Postoperative radiography showed insufficient reduction of the fracture, with varus position of femoral head (Figure 2).
case_images: Radiograph showing nail breakage at the opening for the lag screw at 14 months after surgery. The fracture shows signs of nonunion with sclerosis of the bone ends.
case_images: CRIM.ORTHOPEDICS2013-172352.003.jpg
case_images: PMC3671522_01_CRIM.ORTHOPEDICS2013-172352.003.jpg
case_images: fig3
case_images: Radiographs revealed breakage of the nail at the opening for the lag screw, resulting in varus angulation between the nail and the lag screw (Figure 3).
case_images: Revision surgery with cemented bipolar hemiarthroplasty.
case_images: CRIM.ORTHOPEDICS2013-172352.004.jpg
case_images: PMC3671522_01_CRIM.ORTHOPEDICS2013-172352.004.jpg
case_images: fig4
case_images: The broken nail was removed, and cemented bipolar hemiarthroplasty was performed (Figure 4).
case_images: The retrieved Gamma nail, showing a horizontal fracture line at the opening for the lag screw.
case_images: CRIM.ORTHOPEDICS2013-172352.005.jpg
case_images: PMC3671522_01_CRIM.ORTHOPEDICS2013-172352.005.jpg
case_images: fig5
case_images: The retrieved Gamma nail had a horizontal fracture line, with no obvious damage due to drilling or screw insertion (Figure 5).