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World J Orthop. Apr 18, 2026; 17(4): 116107
Published online Apr 18, 2026. doi: 10.5312/wjo.v17.i4.116107
Published online Apr 18, 2026. doi: 10.5312/wjo.v17.i4.116107
Management and prevention of iatrogenic ipsilateral femoral neck fracture during intramedullary nailing of femoral shaft
Arulkumar Nallakumarasamy, Department of Orthopaedics, Jawaharlal Institute of Postgraduate Medical Education and Research, Karaikal 609602, Puducherry, India
Arulkumar Nallakumarasamy, Naveen Jeyaraman, Sathish Muthu, Madhan Jeyaraman, Department of Regenerative Medicine, Agathisha Institute of Stemcell and Regenerative Medicine, Chennai 600030, Tamil Nadu, India
Vinnisa Nithiakala Vetrivel, Department of Obstetrics and Gynecology, Vinayaka Mission Medical College and Hospital, Karaikal 609609, Puducherry, India
Vinoth Prabhu Balaji, Department of Orthopaedics, Government General Hospital, Karaikal 609602, Puducherry, India
Rahul Yadav, Department of Orthopaedics, SGT Medical College Hospital & Research Institute, Gurugram 122505, Haryana, India
Naveen Jeyaraman, Madhan Jeyaraman, Department of Orthopaedics, ACS Medical College and Hospital, Dr MGR Educational and Research Institute, Chennai 600077, Tamil Nadu, India
Naveen Jeyaraman, Sathish Muthu, Madhan Jeyaraman, Department of Orthopaedics, Orthopaedic Research Group, Coimbatore 641045, Tamil Nadu, India
Sathish Muthu, Central Research Laboratory, Meenakshi Medical College Hospital and Research Institute, Meenakshi Academy of Higher Education and Research, Kanchipuram 631552, Tamil Nadu, India
Author contributions: Nallakumarasamy A contributed to conceptualization; Nallakumarasamy A, Vetrivel VN, Balaji VP, and Yadav R contributed to acquiring clinical data and performing the data analysis; Jeyaraman N, Muthu S and Jeyaraman M contributed to manuscript writing; Jeyaraman M helped in manuscript revision; Nallakumarasamy A contributed for image acquisition; Jeyaraman M and Muthu S contributed to proofreading and administration. All authors have agreed to the final version to be published and agree to be accountable for all aspects of the work.
Institutional review board statement: This investigation was approved by the Institutional Ethics Committee of Faculty of Medicine, Sri Lalithambigai Medical College and Hospital, approval No. Dr. MGR-ERI/SLMCH/2025/005.
Informed consent statement: All study participants or their legal guardian provided informed written consent about personal and medical data collection prior to study enrolment.
Conflict-of-interest statement: All authors declare no conflict of interest in publishing this manuscript.
Data sharing statement: All data is contained within the manuscript.
Corresponding author: Madhan Jeyaraman, PhD, Department of Orthopaedics, ACS Medical College and Hospital, Dr MGR Educational and Research Institute, Poonamalle High Road, Velappanchavadi, Chennai 600077, Tamil Nadu, India. madhanjeyaraman@gmail.com
Received: November 2, 2025
Revised: November 7, 2025
Accepted: January 8, 2026
Published online: April 18, 2026
Processing time: 158 Days and 21.6 Hours
Revised: November 7, 2025
Accepted: January 8, 2026
Published online: April 18, 2026
Processing time: 158 Days and 21.6 Hours
Core Tip
Core Tip: Iatrogenic femoral neck fractures, though rare, are a notable complication during or after femoral shaft fixation with interlocking nails. This study highlights key technical errors-erroneous entry points, misdirected nail manipulation, and forceful jig hammering-as primary causes. Early recognition and adherence to surgical precision can prevent such fractures. Timely diagnosis and appropriate fracture management are essential to optimize patient outcomes and reduce postoperative morbidity.