PMC5871037_01
Anteroposterior and lateral views of the right hip showing reverse obliquity intertrochanteric femoral fracture (OTA-A3.3).
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Plain radiographs showed a reverse obliquity intertrochanteric femoral fracture (OTA-31-A3.3) (Figure 1).
Intraoperative fluoroscopy showing satisfactory reduction and implant position.
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Intraoperative fluoroscopy suggested a satisfactory reduction and implant placement (Figure 2); however, her X-ray on postoperative day 2 showed the lag screw to be outside the nail (Figure 3).
Postoperative X-ray demonstrating that the lag screw is outside the nail on the lateral view with significant rotation of the distal fragment as the distal locking cannot be seen in the anteroposterior (AP) view.
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Intraoperative fluoroscopy suggested a satisfactory reduction and implant placement (Figure 2); however, her X-ray on postoperative day 2 showed the lag screw to be outside the nail (Figure 3).
Intraoperative fluoroscopy confirming that the lag screw is inside the nail.
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The position of the lag screw inside the nail was confirmed by anteroposterior and lateral fluoroscopy views (Figure 4).
Final radiographs at 2-year follow-up showing complete healing of the fracture.
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Final X-rays at 2-year postsurgery show complete healing of the fracture (Figure 5).