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Case Report
Intrapelvic Penetration of Lag Screw in Proximal Femoral Nailing: A Case Report
Jung Woo Lee, Hong Man Cho, Jae Woong Seo
J Korean Fract Soc 2017;30(4):203-208.   Published online October 31, 2017
DOI: https://doi.org/10.12671/jkfs.2017.30.4.203
AbstractAbstract PDF
Hip fractures are common among elderly individuals. Internal fixation with the intramedullary system has been widely used to treat intertrochanteric femur fractures. The Gamma 3 nail is a useful device for fixating trochanteric fractures of the proximal femur. We report a rare complication of medial pelvic penetration of the lag screw of a Gamma 3 nail two months after surgery. There was a complete separation between the nail body and lag screw, and the lag screw penetrated through the acetabulum into the pelvis. We report a case of unstable intertrochanteric fracture with intrapelvic penetration after surgical treatment with proximal femoral nailing and a case followed by fatal results.

Citations

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    Zac Dragan, Ryan J Campbell, Terence R Moopanar
    BMJ Case Reports.2025; 18(3): e262436.     CrossRef
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    Zakaria Mousati, Mathias Van Den Broek, Joren Callaert, Jan Gielis, Kris Govaers
    Trauma Case Reports.2023; 46: 100873.     CrossRef
  • Intrapelvic migration of the lag screw in intramedullary nailing after intertrochanteric fracture fixation: A case report
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    Clinical Case Reports.2022;[Epub]     CrossRef
  • Intramedullary nailing confers an increased risk of medial migration compared to dynamic hip screw fixation in unstable intertrochanteric hip fractures
    Gin Way LAW, Yoke Rung WONG, Antony GARDNER, Yau Hong NG
    Injury.2021; 52(11): 3440.     CrossRef
  • Medial migration in cephalomedullary nail fixation of pertrochanteric hip fractures
    G. W. Law, Y. R. Wong, A. K-S. Yew, A. C. T. Choh, J. S. B. Koh, T. S. Howe
    Bone & Joint Research.2019; 8(7): 313.     CrossRef
  • Intrapelvic Migration of the Lag Screw with Wedge Wing from Dyna Locking Trochanteric Nail: A Case Report and Literature Review
    Yong-Woo Kim, Weon-Yoo Kim, Kyong-Jun Kim, Se-Won Lee
    Hip & Pelvis.2019; 31(2): 110.     CrossRef
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