Intrapelvic migration of the antirotation screw from a short proximal femoral nail: an unusual complication of a usually used implant

Physical examination of the left hip joint revealed the following findings: tenderness and swelling over the trochanteric region with restricted range of movements and a healed suture mark over the trochanteric region. The short proximal femoral nail is widely used for the treatment of trochanteric...

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Bibliographic Details
Published in:BMJ case reports 2019-03, Vol.12 (3), p.e228713
Main Authors: Mohapatra, Ashutosh, Choudhury, Priyam
Format: Article
Language:English
Subjects:
Abdomen
Bone Nails - adverse effects
Bone Screws - adverse effects
Case reports
Female
Femur - surgery
Fractures
Hip Fractures - surgery
Hip joint
Humans
Images In
Middle Aged
Orthopedics
Prostheses
Prosthesis Failure - etiology
Trauma
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Summary:Physical examination of the left hip joint revealed the following findings: tenderness and swelling over the trochanteric region with restricted range of movements and a healed suture mark over the trochanteric region. The short proximal femoral nail is widely used for the treatment of trochanteric fractures and is considered as a first-choice option for internal fixation of pertrochanteric fractures.1 Though cutting out of the lag screw is a common complication, cutting out leading to the medial migration of the screw into pelvis is rare with only a few cases published to date.2 3 As per our knowledge, this is the first case of an intrapelvic antirotation screw migration from a short proximal femoral nail. Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.
ISSN:1757-790X
1757-790X
DOI:10.1136/bcr-2018-228713