title: Medial migration of the intramedullary Gamma 3 nail - a case report.
abstract: Intertrochanteric femur fractures are very common in patients over 65 years old, and are often associated with osteoporosis. Proximal femoral nails are preferred because of their biomechanical advantages in the treatment of these fractures, especially if the fracture is unstable. However, many complications associated with intramedullary fracture fixation have been described. The medial migration of the intramedullary gamma nail is a rare complication. The authors report an uncommon but potentially fatal complication, medial and intrapelvic migration of the intramedullary Gamma 3 nails, recorded after one month of osteosynthesis. This article aims to alert the orthopedic community to this rare complication, which may present a high risk of morbidity and mortality.
authors.affiliation: Unidade Local de Saúde do Alto Minho, Viana do Castelo, Portugal.
authors.forename: Ana Costa
authors.initials: AC
authors.lastname: Pinheiro
authors.affiliation: Unidade Local de Saúde do Alto Minho, Viana do Castelo, Portugal.
authors.forename: Bruno
authors.initials: B
authors.lastname: Alpoim
authors.affiliation: Unidade Local de Saúde do Alto Minho, Viana do Castelo, Portugal.
authors.forename: António
authors.initials: A
authors.lastname: Félix
authors.affiliation: Unidade Local de Saúde do Alto Minho, Viana do Castelo, Portugal.
authors.forename: Carlos
authors.initials: C
authors.lastname: Alves
authors.affiliation: Unidade Local de Saúde do Alto Minho, Viana do Castelo, Portugal.
authors.forename: Cristina
authors.initials: C
authors.lastname: Sousa
authors.affiliation: Unidade Local de Saúde do Alto Minho, Viana do Castelo, Portugal.
authors.forename: António
authors.initials: A
authors.lastname: Rodrigues
keywords: Bone nails; Bone screws; Hip fractures