title: Salvage total hip arthroplasty after two gamma 3 nail failures: a case report.
abstract: We report a case of 68-year-old female patient who suffered two Gamma 3 nail breakages following trochanteric fixation failure revision surgery. A patient was primarily treated with sliding hip screw. Revision surgeries of reverse trochanteric nonunion were performed with short Gamma 3 nails and bone grafting. The nail failures occurred 11 and 7 months after implantation. This undesired series of events were caused by inappropriate implant selection, thus replacing the nail to a modular total hip arthroplasty was more effective as salvage surgery. Key words: salvage total hip arthroplasty, gamma nail, sliding hip screw, fixation failure, reverse trochanteric fracture, nonunion.
authors: Clinic for Orthopaedic and Trauma Surgery, Clinical Center Kragujevac, Serbia.
authors: Z L
authors: ZL
authors: Stepanovic
authors: B M
authors: BM
authors: Ristic
mesh_terms: D000368:Aged; D019644:Arthroplasty, Replacement, Hip / Q000379:methods*; D001858:Bone Nails; D001863:Bone Screws; D005260:Female; D005594:Fracture Fixation, Intramedullary / Q000009:adverse effects / Q000295:instrumentation; D006620:Hip Fractures / Q000000981:diagnostic imaging / Q000601:surgery*; D006801:Humans; D011859:Radiography; D012086:Reoperation; D016879:Salvage Therapy / Q000379:methods*; D017211:Treatment Failure