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Fig. 3 | BMC Musculoskeletal Disorders

Fig. 3

From: Calcar fracture gapping: a reliable predictor of anteromedial cortical support failure after cephalomedullary nailing for pertrochanteric femur fractures

Fig. 3

An illustrative case of maintenance-of-calcar support in postoperative 3D-CT follow-up. A: An 86-year-old female diagnosed with 31A2.3 trochanteric fracture. B: Immediate AP fluoroscopy after operation showed positive relation of the two medical cortices; the arrow indicated a close contact of the inferior medial calcar. C: Immediate lateral fluoroscopy after operation showed neutral relation of the two anterior cortices; the arrow indicated minimal gap at the anterior cortex. D: Postoperative 3D CT image showed true positive anteromedial cortical support at the inferior corner. E: In postoperative 26 months follow-up, the fracture healed with minimal lateral sliding of the helical blade

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