{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,2]],"date-time":"2026-09-02T20:14:27Z","timestamp":1788380067654,"version":"build-2803163510"},"reference-count":20,"publisher":"Open Medical Publishing","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"abstract":"\n Introduction<\/jats:title>\n Intertrochanteric fractures are very common injuries in the elderly population and are typically managed with cephalomedullary nailing. Even though this approach generally has successful outcomes, complications like implant failure or peri-implant fractures could still occur, especially in osteoporotic patients.<\/jats:p>\n <\/jats:sec>\n \n Case Presentation<\/jats:title>\n An 87-year-old female with a previously operated intertrochanteric femoral fracture presented with a subcapital femoral neck fracture combined with breakage of the cephalic lag screw. Imaging showed no signs of non-union or malalignment in the pertrochanteric region.<\/jats:p>\n <\/jats:sec>\n \n Management<\/jats:title>\n The patient underwent cemented dual mobility total hip arthroplasty after removal of the broken lag screw and cephalomedullary nail. Intraoperatively, a distal femoral spiral fracture occurred. This was stabilized with lag screws and a locking plate. The patient recovered uneventfully and returned to full weight-bearing 3 months postoperatively.<\/jats:p>\n <\/jats:sec>\n \n Conclusion<\/jats:title>\n This case highlights a rare complication and presents a therapeutic approach in the context of contemporary literature.<\/jats:p>\n <\/jats:sec>","DOI":"10.52965\/001c.145054","type":"journal-article","created":{"date-parts":[[2025,10,6]],"date-time":"2025-10-06T22:05:11Z","timestamp":1759788311000},"source":"Crossref","is-referenced-by-count":3,"title":["Subcapital Femoral Fracture with Cephalomedullary Nail Lag Screw Failure after Healed Intertrochanteric Fracture: A Case Report"],"prefix":"10.52965","volume":"17","author":[{"given":"Lazaros","family":"Kostretzis","sequence":"first","affiliation":[{"id":[{"id":"https:\/\/ror.org\/02j61yw88","id-type":"ROR","asserted-by":"publisher"}],"name":"Aristotle University of Thessaloniki","department":["2nd Orthopaedic Department"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mikail","family":"Chatzivasiliadis","sequence":"additional","affiliation":[{"id":[{"id":"https:\/\/ror.org\/02j61yw88","id-type":"ROR","asserted-by":"publisher"}],"name":"Aristotle University of Thessaloniki","department":["School of Medicine"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Vasiliki","family":"Tsakiri","sequence":"additional","affiliation":[{"id":[{"id":"https:\/\/ror.org\/02j61yw88","id-type":"ROR","asserted-by":"publisher"}],"name":"Aristotle University of Thessaloniki","department":["2nd Orthopaedic Department"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Panagiotis","family":"Konstantinou","sequence":"additional","affiliation":[{"id":[{"id":"https:\/\/ror.org\/02j61yw88","id-type":"ROR","asserted-by":"publisher"}],"name":"Aristotle University of Thessaloniki","department":["2nd Orthopaedic Department"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Athina Zacharoula","family":"Ditsiou","sequence":"additional","affiliation":[{"id":[{"id":"https:\/\/ror.org\/02j61yw88","id-type":"ROR","asserted-by":"publisher"}],"name":"Aristotle University of Thessaloniki","department":["School of Medicine"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Stylianos","family":"Kapetanakis","sequence":"additional","affiliation":[{"id":[{"id":"https:\/\/ror.org\/02hxrrn62","id-type":"ROR","asserted-by":"publisher"}],"name":"Interbalkan Medical Center","department":["Spine Department and Deformities"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Konstantinos","family":"Ditsios","sequence":"additional","affiliation":[{"id":[{"id":"https:\/\/ror.org\/02j61yw88","id-type":"ROR","asserted-by":"publisher"}],"name":"Aristotle University of Thessaloniki","department":["2nd Orthopaedic Department"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"30777","published-online":{"date-parts":[[2025,10,6]]},"reference":[{"issue":"5","key":"ref1","doi-asserted-by":"publisher","first-page":"719","DOI":"10.1007\/s0026400908377","article-title":"Tip-apex distance of intramedullary devices as a predictor of cut-out failure in the treatment of peritrochanteric elderly hip fractures","volume":"34","author":"J. 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