The inverted Vancouver C fracture. Case series of unstable proximal femur fractures above a knee revision stem treated by short cephalomedullary nail and lateral submuscular overlapping plate.

Peiró, José Vicente Andrés; Ruiz, María Jurado; Hernández, Jordi Tomás; Serra, Jordi Teixidor; Marsá, Jordi Selga; Vázquez, Juan Antonio Porcel; Sánchez, Yaiza García; García, Vicente Molero · Eur J Orthop Surg Traumatol · 2021

case_series · Level IV

Where this comes from

Abstract

Unstable proximal femur fractures above a knee revision stem are an emerging complication that is especially difficult to treat. Since this pattern does not adapt to any previously reported classification, we named it "inverted Vancouver C fracture". In this single-centre case series, we pose a nail-plate combination for the treatment of such clinical picture. The incidence was low among proximal and implant-related femoral fractures. All the fractures healed without records of major local complications. Thus, we consider this technique safe and reproducible.

Medical subject headings

Anatomy