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Figure 1 | Patient Safety in Surgery

Figure 1

From: Failure of fixation of trochanteric femur fractures: Clinical recommendations for avoiding Z-effect and reverse Z-effect type complications

Figure 1

Case 1 - Radiographic images of the pelvis in anteroposterior view (A), and the hip joint in anteroposterior and lateral view (B), showing the subtrochanteric fracture of the right femur consolidated in varus angulation. The reduction in varus and the intense periosteal reaction caused by infection can be observed. The entry point of the nail is excessively lateral, and the interlocking screws are short and incorrectly positioned culminating in the lateral migration of the inferior screw (Z-effect).

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