Final answer:
The most common complication following intramedullary nailing for subtrochanteric fractures is malunion. Achieving proper alignment during the procedure is crucial to prevent this, but other complications can occur, including nonunion, infection, and hardware failure.
Step-by-step explanation:
Complications of IM Nailing in Subtrochanteric Fractures
The most common complication of intramedullary (IM) nailing in subtrochanteric fractures is malunion. Subtrochanteric fractures, which are fractures located in the region just below the lesser trochanter of the femur, can be challenging to treat due to the strong muscular forces in the area that may cause displacement of the fracture fragments. While IM nailing is a common surgical intervention for these fractures, complications such as malunion, where the bones heal in an incorrect position, can occur. This is partly due to the difficulty in achieving and maintaining proper alignment during the surgical procedure.
Another significant complication is nonunion, where the fractured bone fails to heal and fuse together properly. Nonunion is typically less common than malunion but remains a concern for orthopedic surgeons. Other potential complications include infection, injury to surrounding nerves or blood vessels, and hardware failure.
It is essential for patients and healthcare providers to monitor for signs of these complications, manage post-operative care properly, and ensure appropriate rehabilitation to minimize the risks associated with subtrochanteric fracture repair.