Late Occurring Medial Migration of a Lag Screw in Gamma Nailing.
An 81-year-old female was treated for a pertrochanteric multifragmentary fracture of the proximal femur with a third-generation Gamma nail. After 3 months she presented herself again with acute pain and inability to bear weight on the leg. Radiographs showed medial migration of the lag screw. She was treated with a total hip arthroplasty, after which she was successfully discharged. In this case report the possible causes of this late and unusual complication are discussed.
Department of Orthopaedic Surgery, Maastricht University Medical Center, P. Debyelaan 25, 6229 HX, Maastricht, Netherlands.
S
S
van Hoef
Department of Orthopaedic Surgery, Maastricht University Medical Center, P. Debyelaan 25, 6229 HX, Maastricht, Netherlands.
M C H W
MC
Fuchs
Department of Orthopaedic Surgery, Maastricht University Medical Center, P. Debyelaan 25, 6229 HX, Maastricht, Netherlands.
R H M
RH
Ten Broeke