Medial pelvic migration of the lag screw in a short gamma nail after hip fracture fixation: a case report and review of the literature.
Hip fractures are a common injury among the elderly. Internal fixation with an intramedullary (IM) system has gained popularity for the treatment of intertrochanteric femur fractures. Multiple complications associated with IM fracture fixation have been described, however, we report a rare complication of medial pelvic migration of the lag screw of a short IM nail in a stable construct ten weeks post surgery. The patient was subsequently treated with Lag Screw removal and revision surgery with a shorter Lag Screw and an accessory cannulated screw acting as a de-rotational device. The patient did well with the revision surgery and was able to return to full activities.
Li
Xinning
X
University of Massachusetts Medical Center, Worcester, MA, USA. xinning.li@gmail.com.
Heffernan
Michael J
MJ
Kane
Christina
C
Leclair
Walter
W
Arch Orthop Trauma Surg. 2008 Feb;128(2):227-34
17985147
J Bone Joint Surg Br. 1992 May;74(3):345-51
1587874
Bone. 1996 Jan;18(1 Suppl):57S-63S
8717549
J Trauma. 2008 Oct;65(4):852-7
18849802
J Orthop Res. 2007 Dec;25(12):1568-73
17592624
J Bone Joint Surg Br. 2004 Jan;86(1):86-94
14765872
J Bone Joint Surg Br. 1991 Mar;73(2):330-4
2005167
J Orthop Res. 2005 Nov;23(6):1329-35
15994054
J Orthop Trauma. 2003 Jan;17(1):53-6
12499968
Injury. 1999 Apr;30(3):157-63
10476259
Clin Orthop Relat Res. 1984 Jun;(186):45-56
6723159
Unfallchirurg. 2002 Oct;105(10):881-5
12376894
Cases J. 2009 Mar 10;2:6419
20181153
Arch Orthop Trauma Surg. 2006 Mar;126(2):118-22
16402202
Unfallchirurg. 2005 Jan;108(1):79-80; author reply 80
16149170