Key result
A 77-year-old female experienced a rare complication of medial pelvic migration of the lag screw 10 weeks after stable fixation of an intertrochanteric hip fracture with a short Gamma 3 nail.
Case Report (n=1)
No
Medial pelvic migration of a lag screw in a short intramedullary nail is a rare complication that can be successfully managed with revision to a shorter lag screw and an accessory de-rotational screw.
Raises awareness of rare lag screw migration after Gamma nailing; case report leaves open incidence, risk factors, and prevention.
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 weeks post surgery. The patient was subsequently treated with Lag Screw removal and revision surgery with a shorter Lag Screw and an accessory cannulated screw acting as a de-rotational device. The patient did well with the revision surgery and was able to return to full activities.
No takes yet. Share an insight, caveat, or question.
Li et al. (2010) conducted a case report in Intertrochanteric hip fracture (n=1). Short Gamma 3 nail fixation was evaluated on Medial pelvic migration of the lag screw. A 77-year-old female experienced a rare complication of medial pelvic migration of the lag screw 10 weeks after stable fixation of an intertrochanteric hip fracture with a short Gamma 3 nail.
Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context: