Cervicocephalic medial screw migration after intertrochanteric fracture fixation, OTA/AO 31-A2, using intramedullary nail Gamma3: report of 2 cases and literature review

Cervicocephalic screw medialization is a rare complication after intertrochanteric fracture synthesis with a Gamma3-type intramedullary nail. Only 6 cases of intrapelvic penetration by Gamma3 lag screw have been described. We now describe 2 additional cases and a review of the literature.

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Bibliographic Details
Published inJournal of orthopaedic trauma Vol. 27; no. 11; p. e264
Main Authors Lozano-Alvarez, Carlos, Alier, Albert, Pelfort, Xavier, Martínez-Díaz, Santos, Puig, Lluis
Format Journal Article
LanguageEnglish
Published United States 01.11.2013
Subjects
Aged
Aged, 80 and over
Bone Nails - adverse effects
Bone Nails - classification
Bone Screws - adverse effects
Bone Screws - classification
Foreign-Body Migration - diagnosis
Foreign-Body Migration - diagnostic imaging
Fracture Fixation, Intramedullary - instrumentation
Fracture Fixation, Intramedullary - methods
Hip Fractures - surgery
Hip Joint - surgery
Humans
Male
Pelvic Bones - diagnostic imaging
Pelvic Bones - injuries
Radiography
Reoperation
Treatment Outcome
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Summary:Cervicocephalic screw medialization is a rare complication after intertrochanteric fracture synthesis with a Gamma3-type intramedullary nail. Only 6 cases of intrapelvic penetration by Gamma3 lag screw have been described. We now describe 2 additional cases and a review of the literature.
ISSN:1531-2291
DOI:10.1097/BOT.0b013e31829203ca