Intracapsular Proximal Femoral Fracture Failed Fixation

Complications following fixation of intracapsular neck of femur fractures remain common; however, the provision of an appropriate mechanical environment can be employed to try and prevent them. We present a case of fixation failure due to the use of a technique that does not adequately resist the shear forces that occur during weight-bearing, resulting in shortening and varus collapse. Maintenance of length within the neck could be achieved through the use of fully threaded screws or a fixed angle device, whilst increased resistance against the shear stress experienced in this region may be achieved through the use of an orthogonal Pauwel screw.