scholarly journals Late Occurring Medial Migration of a Lag Screw in Gamma Nailing

2016 ◽  
Vol 2016 ◽  
pp. 1-4
Author(s):  
S. van Hoef ◽  
M. C. H. W. Fuchs ◽  
R. H. M. ten Broeke

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.

PM&R ◽  
2012 ◽  
Vol 4 ◽  
pp. S246-S246
Author(s):  
Dane Pohlman ◽  
Robert D. Bunning ◽  
Cynthia G. Pineda

2014 ◽  
Vol 2014 ◽  
pp. 1-4 ◽  
Author(s):  
Tomoya Takasago ◽  
Tomohiro Goto ◽  
Shunichi Toki ◽  
Daisuke Hamada ◽  
Shinji Yoshioka ◽  
...  

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. The patient was subsequently treated with lag screw removal and revision surgery with total hip arthroplasty. This case demonstrated that optimal fracture reduction and positioning of the lag screw are the most important surgical steps for decreasing the risk of medial migration of the lag screw. Furthermore, to prevent complications, careful attention should be paid to subsequent steps such as precise insertion of the set screw.


2021 ◽  
Vol 127 (1) ◽  
pp. 110-132
Author(s):  
Paul Panzenbeck ◽  
Arvind von Keudell ◽  
Girish P. Joshi ◽  
Claire X. Xu ◽  
Kamen Vlassakov ◽  
...  

2017 ◽  
Vol 32 (6) ◽  
pp. 1965-1969 ◽  
Author(s):  
In-Sung Kim ◽  
Nachiket Pansey ◽  
Rajeev K. Kansay ◽  
Je-Hyun Yoo ◽  
Hwang-Yong Lee ◽  
...  

2011 ◽  
Vol 23 (3) ◽  
pp. 221
Author(s):  
Kyung Soon Park ◽  
Taek Rim Yoon ◽  
Jae Young Moon ◽  
Qin Sheng Hu

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