title: Unusual case of osteosynthesis failure in a hip fracture: side-plate pull-out.
abstract: Osteoporotic hip fractures are common in our setting. Poor bone quality favors complications of the osteosynthesis procedures used to treat these patients. Lag-screw cut-out through the femoral head is not uncommon (2%), but pull-out of side plate screws is very unusual. We present the case of a patient with a stable osteoporotic fracture treated by osteosynthesis using a four-hole plate, who presented with a pull-out following a low-energy fall.
authors.affiliation: Fundación García Cugat, Hospital Quiron, Barcelona, Spain and Orthopaedics and Traumatology Service, Fundació Hospital de Mollet, Barcelona, Spain. seijastraumatologia@gmail.com
authors.forename: Roberto
authors.initials: R
authors.lastname: Seijas
authors.forename: Juan Manuel
authors.initials: JM
authors.lastname: Orduña
authors.forename: Maria Concepción
authors.initials: MC
authors.lastname: Castro
authors.forename: Jordi
authors.initials: J
authors.lastname: Baliarda
authors.forename: Nuria
authors.initials: N
authors.lastname: Granados
authors.forename: Emili
authors.initials: E
authors.lastname: Alcántara
mesh_terms: D000058:Accidental Falls; D001860:Bone Plates; D004868:Equipment Failure; D005593:Fracture Fixation, Internal / Q000009:adverse effects / Q000295:instrumentation*; D006620:Hip Fractures / Q000150:complications* / Q000601:surgery*; D006801:Humans; D008297:Male; D010024:Osteoporosis / Q000150:complications*