Late Occurring Medial Migration of a Lag Screw in Gamma Nailing

S. van Hoef; M. C. H. W. Fuchs; R. H. M. ten Broeke

doi:10.1155/2016/5201674

Case Reports in Orthopedics (Jan 2016)

Late Occurring Medial Migration of a Lag Screw in Gamma Nailing

S. van Hoef,
M. C. H. W. Fuchs,
R. H. M. ten Broeke

Affiliations

S. van Hoef: Department of Orthopaedic Surgery, Maastricht University Medical Center, P. Debyelaan 25, 6229 HX, Maastricht, Netherlands
M. C. H. W. Fuchs: Department of Orthopaedic Surgery, Maastricht University Medical Center, P. Debyelaan 25, 6229 HX, Maastricht, Netherlands
R. H. M. ten Broeke: Department of Orthopaedic Surgery, Maastricht University Medical Center, P. Debyelaan 25, 6229 HX, Maastricht, Netherlands

DOI: https://doi.org/10.1155/2016/5201674
Journal volume & issue: Vol. 2016

Abstract

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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.

Published in Case Reports in Orthopedics

ISSN: 2090-6749 (Print); 2090-6757 (Online)
Publisher: Hindawi Limited
Country of publisher: United Kingdom
LCC subjects: Medicine: Surgery: Orthopedic surgery
Website: https://onlinelibrary.wiley.com/journal/9192

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