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

• 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
• ISSN: 1757-790X; 1757-790X
• DOI: 10.1136/bcr-2018-228713

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.