Medial Migration of the Lag Screw in Gamma Nailing System: A Case Report

نویسندگان

  • Issei Nagura
  • Takako Kanatani
  • Atsuyuki Inui
  • Yutaka Mifune
  • Takeshi Kokubu
  • Masahiro Kurosaka
چکیده

The treatment of trochanteric fracture with Gamma nail has been recognized as a common method [1] and comparatively good outcomes were reported. Despite of this, some complications were reported [2,3], where the protrusion of the lag screw into the hip joint is the most common. In addition, femoral fractures at the distal end tip of the nail, femoral head rotation and a medial migration of the lag screw into pelvic also have been described. Among those, there is little publication reporting a medial migration of the lag screw into pelvic and its pathogenesis has been unclear [2-9]. We reported a failed case showed the medial migration of the lag screw and discussed its pathogenesis by analyzing the components of Gamma nail system after removal.

برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید

ثبت نام

اگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید

منابع مشابه

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 cas...

متن کامل

Intrapelvic Migration of the Lag Screw in Intramedullary Nailing

Internal fixation with intramedullary devices has gained popularity for the treatment of intertrochanteric femoral fractures, which are common injuries in the elderly. The most common complications are lag screw cut out from the femoral head and femoral fracture at the distal tip of the nail. We report here a rare complication of postoperative lag screw migration into the pelvis with no trauma....

متن کامل

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 week...

متن کامل

A Case Report of a Rare Complication of an Intrapelvic Migration of the Lag Screw of a Gamma Nail: Review of the Literature

C l i n M e d International Library Citation: Georgiannos D, Lampridis V, Bisbinas I (2016) A Case Report of a Rare Complication of an Intrapelvic Migration of the Lag Screw of a Gamma Nail: Review of the Literature. Trauma Cases Rev 2:031 Received: January 17, 2016: Accepted: February 04, 2016: Published: February 06, 2016 Copyright: © 2016 Georgiannos D, et al. This is an open-access article ...

متن کامل

Retrograde intramedullary nailing for the treatment of femoral medial condyle fracture nonunion

An unicondylar fracture of the femur is uncommon and of the medial condyle more so. Open reduction and internal fixation of these fractures is most commonly performed with screws or plate and screws. Secure bone fixation is compromised by osteoporosis in elderly patients; additional measures may be required. We report the case of an elderly osteoporotic patient with a medial condyle fracture no...

متن کامل

ذخیره در منابع من


  با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید

برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید

ثبت نام

اگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید

عنوان ژورنال:

دوره   شماره 

صفحات  -

تاریخ انتشار 2015