![]() ![]() Studies have shown that screws placed in this region are associated with an increased risk of peri-implant subtrochanteric fracture. Peri-implant subtrochanteric fractures are a well-known complication of cannulated screw fixation, which tends to occur when screws are placed distal to the lesser trochanter. The identification of peri-implant subtrochanteric femur fractures as a potential complication of FNS usage in incomplete nondisplaced femoral neck fractures raises important considerations for clinical decision-making and patient management in orthopedic trauma. This finding suggests the need for caution and further investigation when considering FNS as a treatment option for this specific fracture pattern. No similar complications were observed in patients treated with other types of fixation. These fractures were observed exclusively in patients with incomplete nondisplaced fractures who received FNS fixation. This case series sheds light on peri-implant subtrochanteric femur fractures as a previously unreported complication associated with the use of FNS for femoral neck fractures. ![]() Only one case involved an identifiable technical error. Interestingly, all four cases of peri-implant fractures were seen in patients with incomplete nondisplaced femoral neck fractures. In contrast, no such fractures occurred in patients treated with cannulated screws or dynamic hip screws (DHS). Among these patients, four cases of peri-implant subtrochanteric femur fractures were identified. We reviewed 35 patients who underwent treatment with FNS for femoral neck fractures between January 2017 and December 2021 at our level 1 trauma institution. This case series aims to investigate four cases of peri-implant subtrochanteric fractures in patients treated with the FNS implant for femoral neck fractures. However, we have observed cases of peri-implant subtrochanteric femur fractures associated with the use of FNS at our institution. The femoral neck system (FNS) is commonly used for internal fixation of femoral neck fractures and has shown promising results. ![]()
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