Contents
1. Biomechanics of Implants
2. Minimizing Failure of Fracture Fixation in Osteoporotic Bones
3. Failed Fixation Neck of Femur Fractures
Case 1: Failed Fixation Fracture Neck Femur: Limitations of Femoral Neck System Implant
Case 2: Atypical Hip Fracture Followed by Shaft Fracture
Case 3: Valgus Osteotomy for Nonunion of a Femur Neck Fracture
4. Failed Fixation Intertrochanteric Fractures
Case 1: Salvage of Failed Intertrochanteric Fracture Fixation with Total Hip Replacement in a Rheumatoid Patient on Steroids
Case 2: Displaced Comminuted Lateral Wall Intertrochanteric Fracture with Implant Failure
Case 3: Unstable Intertrochanteric Fracture with Subtrochanteric Extension Failed Fixation 2 Years Post Index Surgery
5. Fixation Failure Subtrochanteric Fractures
Case 1: Failed 95o Dynamic Condylar Screw for Subtrochanteric Fracture Salvaged with Revision Fixation and Augmentation Plating
Case 2: Failed Subtrochanteric Fracture Fixation Salvaged with a Valgus Osteotomy
Case 3: Failed Intramedullary Nailing of Subtrochanteric Fracture - Salvaged with Exchange Nailing and Bone Grafting
Case 4: Failed Proximal Femoral Nail for a High Subtrochanteric Fracture - Salvaged with an Angled Blade Plate
Case 5: Technical Challenges in Management of Salute Fracture (High Subtrochanteric Femur Fracture)
6. Failed Fixation Femoral Shaft Fractures
Case 1: Failed Intramedullary Nailing of Diaphyseal Fracture of Femur
Case 2: Infected Nonunion of Femur Managed with Limb Reconstruction System - Acute Docking and Lengthening
7. Failed Fracture Fixation Distal Femur Fractures
Case 1: Distal Femur Implant Failure Salvaged with Dual Nail-plate Fixation
Case 2: Salvage for Early Cutout of Distal Femoral Nail
Case 3: Medial Support: The Critical Factor in Distal Femur Fracture Fixation Failure
Case 4: Salvaging an Infected Periprosthetic Fracture
8. Fixation Failures of Tibial Condyle Fractures
Case 1: Nonunion Tibial Condyle Fracture
Case 2: Proximal Tibia Nonunion
9. Failed Fixation of Tibial Shaft Fractures
Case 1: Failed Intramedullary Nail with Infection in Proximal Tibia Treated with Ilizarov Fixator
Case 2: Implant Failure in Distal Tibial Fracture Managed with Ankle Arthrodesis Using Ilizarov-assisted Bone Transport
Case 3: Open Distal Tibia Fracture with Failed Internal Fixation
Case 4: Infected Nonunion of Distal Tibia Managed with Limb Reconstruction System Assisted Bone Transport
Case 5: Nonunion Fracture of Distal Third Tibia and Fibula
Case 6: Hypertrophic Nonunion of Tibial Diaphysis Treated with Dual Fixation and Unitization
10. Fixation Failures Ankle Fractures
Case 1: Early Presentation of Failed Fixation of Distal Tibiofibular Syndesmosis: Management with Syndesmotic Reconstruction and Deltoid Repair
Case 2: Delayed Presentation of Syndesmotic Injury: Managed with Syndesmotic Fusion
Case 3: Failed Ankle Fracture Fixation in a Diabetic Salvaged with a Tibiotalocalcaneal Fusion
Case 4: Post-traumatic Ankle Arthritis Secondary to Mistreated Syndesmotic Injury with Multiple Failed Surgeries: Managed with Tibiotalocalcaneal Arthrodesis
Case 5: Complex Bilateral Calcaneal Malunion with Failed Operative Fixation and Secondary Hindfoot and Forefoot Deformities
Case 6: Failed Calcaneal Fracture Fixation Treated with Subtalar Arthrodesis
Case 7: Neglected Lisfranc Injury



