learning curve, fracture neck femur, common mistake in orthopaedics, fracture management

1. Vinod Naneria Consultant, Orthopaedics Choithram Hospital & Research Centre Indore, MP, India Comedy of Errors

3. Plain X-ray Incomplete fracture neck of femur Normal serum chemistry

4. Three Knowles pins for prophylactic fixation Mobilization with walker started

5. Developed sub-trochanteric extension following loss of balance

6. Fixation by DHS after reduction and stabilization by one inter-fragmentary screws

7. Plate bending started Pain persisted Ambulation continued

8. Pain persisted Ambulation continued Hoping union

9. Plate failed Severe pain Difficulty in ambulation

10. Reconstruction nailing

12. DISCLAIMER • Information contained and transmitted by this presentation is based on personal experience and collection of cases at Choithram Hospital & Research centre, Indore, India, during last 25 years. • It is intended for use only by the students of orthopaedic surgery. Many GIF files are taken from Internet. • Views and opinion expressed in this presentation are personal opinion. • Depending upon the x-rays and clinical presentations viewers can make their own opinion. • For any confusion please contact the sole author for clarification. Every body is allowed to copy or download and use the material best suited to him. I am not responsible for any controversies arise out of this presentation. • For any correction or suggestion please contact [email_address]