• Injury · Aug 2014

    Review Case Reports

    Medial migration of lag screw after gamma nailing.

    • Eric Thein, Alexandre De Cannière, Alexandre Burn, and Olivier Borens.
    • Department of Orthopaedics and Traumatology, Lausanne University Hospital, Lausanne, Switzerland. Electronic address: eric.thein@chuv.ch.
    • Injury. 2014 Aug 1;45(8):1275-9.

    AbstractFractures of the proximal femur are common in the elderly population. Intramedullary nailing has become the standard treatment for intertrochanteric fractures although several extramedullary implants (e.g. dynamic hip screw (DHS), blade plate, locking compression plate (LCP), etc.) exist. However, despite this being a very common operation in traumatology, there are numerous associated complications. We report the rare complication of the migration of the medial lag screw into the pelvis at five and a half weeks postoperatively. The implant was removed and replaced by a total hip arthroplasty with simultaneous grafting of the acetabular defect and strapping of the greater trochanter. The evolution was favourable. We also present a review of the literature and analyze our case.Copyright © 2014 Elsevier Ltd. All rights reserved.

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