Subtrochanteric Femoral Fractures After SIGN Locking Intramedullary Nails

Prevention Strategies for Intraoperative Complications

Thorough preoperative assessment of the entire femur is essential to identify any proximal lesions that could lead to implant failure, as recommended by Praxis Medical Insights 1
Adequate preoperative imaging prevents missed pathology and suboptimal implant selection, as recommended by Praxis Medical Insights 1
External rotation of the intramedullary nail during insertion can reduce the risk of malreduction in bowed femurs, according to the American Academy of Orthopaedic Surgeons 2

Atypical femur fracture incidence is 55 per 100,000 person-years in bisphosphonate users versus 1 per 100,000 in bisphosphonate-naive patients, as reported by the American Academy of Orthopaedic Surgeons 2