Segmental neck of femur fractures: Early recognition and appropriate treatment to prevent fixation failure: A case series

Abstract

Introduction: Segmental fractures of the neck of femur (SFNOF) are rare injuries that should be recognized early. Case Presentation: We present a series of two cases with SFNOF who initially underwent surgical fixation with a femoral intra-medullary nail. Both cases had complications of fracture non-union, femoral intra-medullary nail failure and migration, and had to undergo revision surgery with a hip arthroplasty. Results and Conclusion: A discussion of similar cases in the literature is presented. We highlight the importance of early recognition and appropriate further imaging such as computed tomography (CT) scanning and consideration of arthroplasty options.