Revista Brasileira de Ortopedia ()

Intrapelvic Migration of the Cephalic Screw of a Proximal Femoral Long Intramedullary Nail: Case Report*

  • Elton Luiz Batista Cavalcante,
  • Fernando Junqueira de Faria,
  • Rubens Azevedo Rodrigues,
  • José Eduardo Grandi Ribeiro Filho,
  • Saulo Gomes de Oliveira,
  • Nelson Elias

DOI
https://doi.org/10.1016/j.rbo.2017.12.004

Abstract

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Abstract The use of cephalomedullary devices has gained popularity in the treatment of proximal femoral fractures. Despite their biomechanical advantages, several complications are well described in the literature. One of these complications, which is rarely reported, is the medial migration of the cephalic screw. The authors present this unusual complication in a case of a long-nail implant, which was treated with removal of the implants as a first step, and posterior osteosynthesis with a locked proximal femur plate as a second step, as well the outcome until fracture consolidation and resolution of the case.

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