Intrapelvic Penetration of Lag Screw in Proximal Femoral Nailing: A Case Report.
10.12671/jkfs.2017.30.4.203
- Author:
Jung Woo LEE
1
;
Hong Man CHO
;
Jae Woong SEO
Author Information
1. Department of Orthopedic Surgery, Busan Veterans Hospital, Busan, Korea.
- Publication Type:Case Report
- Keywords:
Intrapelvic penetration;
Intertrochanteric fractures;
Lag screw migration;
Gamma 3
- MeSH:
Acetabulum;
Aged;
Femur;
Hip Fractures;
Humans;
Pelvis
- From:Journal of the Korean Fracture Society
2017;30(4):203-208
- CountryRepublic of Korea
- Language:English
-
Abstract:
Hip fractures are common among elderly individuals. Internal fixation with the intramedullary system has been widely used to treat intertrochanteric femur fractures. The Gamma 3 nail is a useful device for fixating trochanteric fractures of the proximal femur. We report a rare complication of medial pelvic penetration of the lag screw of a Gamma 3 nail two months after surgery. There was a complete separation between the nail body and lag screw, and the lag screw penetrated through the acetabulum into the pelvis. We report a case of unstable intertrochanteric fracture with intrapelvic penetration after surgical treatment with proximal femoral nailing and a case followed by fatal results.
