Medial Pelvic Migration of the Lag Screw after Intramedullary Nailing for Trochanteric Femoral Fracture
Internal fixation with intramedullary nails has gained popularity for the treatment of trochanteric femoral fractures, which are common injuries in older individuals. The most common complications are lag screws cut-out from the femoral head and femoral fracture at the distal tip of the nail. Herein...
Saved in:
| Main Authors: | , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Wiley
2021-01-01
|
| Series: | Case Reports in Orthopedics |
| Online Access: | http://dx.doi.org/10.1155/2021/5553835 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1832547635052937216 |
|---|---|
| author | Kohei Kuroshima Koichi Kasahara Shinsuke Kihara Yoshifumi Harada Masatoshi Sumi |
| author_facet | Kohei Kuroshima Koichi Kasahara Shinsuke Kihara Yoshifumi Harada Masatoshi Sumi |
| author_sort | Kohei Kuroshima |
| collection | DOAJ |
| description | Internal fixation with intramedullary nails has gained popularity for the treatment of trochanteric femoral fractures, which are common injuries in older individuals. The most common complications are lag screws cut-out from the femoral head and femoral fracture at the distal tip of the nail. Herein, we report a rare complication of postoperative medial pelvic migration of the lag screw with no trauma. The patient was subsequently treated by lag screw removal via laparoscopy. This case suggests that optimal fracture reduction, adequate position of the lag screw, and careful attention to set screw insertion are important to prevent complications. Additionally, laparoscopic surgery might be able to remove the lag screw more safely than removal from the femoral side. |
| format | Article |
| id | doaj-art-563454e0585c4dc29048f7de57e52cae |
| institution | Kabale University |
| issn | 2090-6749 2090-6757 |
| language | English |
| publishDate | 2021-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Orthopedics |
| spelling | doaj-art-563454e0585c4dc29048f7de57e52cae2025-02-03T06:43:58ZengWileyCase Reports in Orthopedics2090-67492090-67572021-01-01202110.1155/2021/55538355553835Medial Pelvic Migration of the Lag Screw after Intramedullary Nailing for Trochanteric Femoral FractureKohei Kuroshima0Koichi Kasahara1Shinsuke Kihara2Yoshifumi Harada3Masatoshi Sumi4Department of Orthopaedic Surgery, Kobe Rosai Hospital, 4-1-23 Kagoike-dori, Chuo-ku, Kobe, Hyogo 651-0053, JapanDepartment of Orthopaedic Surgery, Konan Medical Center, 1-5-16 Kamokogahara, Higashinada-ku, Kobe, Hyogo 658-0064, JapanDepartment of Orthopaedic Surgery, Konan Medical Center, 1-5-16 Kamokogahara, Higashinada-ku, Kobe, Hyogo 658-0064, JapanDepartment of Orthopaedic Surgery, Kobe Rosai Hospital, 4-1-23 Kagoike-dori, Chuo-ku, Kobe, Hyogo 651-0053, JapanDepartment of Orthopaedic Surgery, Kobe Rosai Hospital, 4-1-23 Kagoike-dori, Chuo-ku, Kobe, Hyogo 651-0053, JapanInternal fixation with intramedullary nails has gained popularity for the treatment of trochanteric femoral fractures, which are common injuries in older individuals. The most common complications are lag screws cut-out from the femoral head and femoral fracture at the distal tip of the nail. Herein, we report a rare complication of postoperative medial pelvic migration of the lag screw with no trauma. The patient was subsequently treated by lag screw removal via laparoscopy. This case suggests that optimal fracture reduction, adequate position of the lag screw, and careful attention to set screw insertion are important to prevent complications. Additionally, laparoscopic surgery might be able to remove the lag screw more safely than removal from the femoral side.http://dx.doi.org/10.1155/2021/5553835 |
| spellingShingle | Kohei Kuroshima Koichi Kasahara Shinsuke Kihara Yoshifumi Harada Masatoshi Sumi Medial Pelvic Migration of the Lag Screw after Intramedullary Nailing for Trochanteric Femoral Fracture Case Reports in Orthopedics |
| title | Medial Pelvic Migration of the Lag Screw after Intramedullary Nailing for Trochanteric Femoral Fracture |
| title_full | Medial Pelvic Migration of the Lag Screw after Intramedullary Nailing for Trochanteric Femoral Fracture |
| title_fullStr | Medial Pelvic Migration of the Lag Screw after Intramedullary Nailing for Trochanteric Femoral Fracture |
| title_full_unstemmed | Medial Pelvic Migration of the Lag Screw after Intramedullary Nailing for Trochanteric Femoral Fracture |
| title_short | Medial Pelvic Migration of the Lag Screw after Intramedullary Nailing for Trochanteric Femoral Fracture |
| title_sort | medial pelvic migration of the lag screw after intramedullary nailing for trochanteric femoral fracture |
| url | http://dx.doi.org/10.1155/2021/5553835 |
| work_keys_str_mv | AT koheikuroshima medialpelvicmigrationofthelagscrewafterintramedullarynailingfortrochantericfemoralfracture AT koichikasahara medialpelvicmigrationofthelagscrewafterintramedullarynailingfortrochantericfemoralfracture AT shinsukekihara medialpelvicmigrationofthelagscrewafterintramedullarynailingfortrochantericfemoralfracture AT yoshifumiharada medialpelvicmigrationofthelagscrewafterintramedullarynailingfortrochantericfemoralfracture AT masatoshisumi medialpelvicmigrationofthelagscrewafterintramedullarynailingfortrochantericfemoralfracture |