Medial migration of lag screw with intrapelvic dislocation in gamma nailing--a unique problem? A report of 2 cases

Journal of Orthopaedic Trauma
Martin LuckeUlrich Stöckle

Abstract

Within the last decade, intramedullary nailing systems have gained popularity in the treatment of unstable fractures of the trochanteric region with good clinical results. However, these implants are not free of complications. Commonly reported treatment failures include implant cutout through the femoral neck, stress-derived femur fractures at the distal end of the nail, and secondary rotational displacement and varus deformity of the femoral neck and head. Only few reports exist on primary medial migration of the lag screw after treatment with intramedullary implants. We report on a rarely described complication in 2 patients who underwent osteosynthesis with a Gamma 3 nail (Stryker, Mahwah, NJ). Both patients presented with implant failures due to primary medial migration of the lag screw. Complete separation of the implant occurred, and the lag screw penetrated through the acetabulum into the pelvis. The patient's histories and course of treatment are reported. The literature on this topic is discussed.

References

Jul 27, 2001·The Journal of Trauma·C KuklaV Vécsei
Aug 2, 2002·Clinical Orthopaedics and Related Research·Leif AhrengartUrban Lindgren
Jun 24, 2004·Journal of Orthopaedic Trauma·Mark B SommersMichael Bottlang
Nov 2, 2004·Archives of Orthopaedic and Trauma Surgery·Beatrix Hesse, Andrè Gächter
Nov 2, 2005·Injury·D Bose, N C Tejwani
Jan 13, 2006·Archives of Orthopaedic and Trauma Surgery·Mark Tauber, Herbert Resch
Jun 27, 2007·Journal of Orthopaedic Research : Official Publication of the Orthopaedic Research Society·Eric J StraussKenneth A Egol
Jul 10, 2007·International Orthopaedics·Antonio HerreraAngel Martinez
Nov 7, 2007·Archives of Orthopaedic and Trauma Surgery·Yoram A WeilDean G Lorich
Dec 29, 2007·Journal of Orthopaedic Surgery·T MoriharaT Kubo

❮ Previous
Next ❯

Citations

Jun 16, 2012·Der Unfallchirurg·N SchöffelF Reuther
Jan 13, 2006·Archives of Orthopaedic and Trauma Surgery·Mark Tauber, Herbert Resch
Jun 17, 2014·Injury·Eric TheinOlivier Borens
Oct 12, 2012·Der Chirurg; Zeitschrift für alle Gebiete der operativen Medizen·F BonnaireP Bula
Aug 21, 2012·Acta Orthopaedica·Helge WangenOve Talsnes
May 13, 2015·Der Unfallchirurg·G H Sandmann, P Biberthaler
May 18, 2011·Journal of Orthopaedic Trauma·Matthew A FrankFrank A Liporace
Sep 15, 2019·European Journal of Trauma and Emergency Surgery : Official Publication of the European Trauma Society·Felix BonnairePhilipp Bula
Jul 28, 2019·European Journal of Orthopaedic Surgery & Traumatology : Orthopédie Traumatologie·Amelie KanovskyEva Miller
Mar 4, 2020·Revista Brasileira De Ortopedia·Elton Luiz Batista CavalcanteNelson Elias
Jan 5, 2017·Revista Brasileira De Ortopedia·Ana Costa PinheiroAntónio Rodrigues
Dec 15, 2018·Journal of Orthopaedic Research : Official Publication of the Orthopaedic Research Society·Mark LenzBoyko Gueorguiev
Aug 5, 2021·Journal of Orthopaedics and Traumatology : Official Journal of the Italian Society of Orthopaedics and Traumatology·Matthew Klima

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.

© 2021 Meta ULC. All rights reserved