Case Report: Mechanical Failure of the Intramedullary Hip Screw in a Subtrochanteric Femoral Fracture
- 1 July 1996
- journal article
- case report
- Published by Wolters Kluwer Health in Journal of Orthopaedic Trauma
- Vol. 10 (5) , 348-350
- https://doi.org/10.1097/00005131-199607000-00010
Abstract
The Gamma nail, an implant specifically designed for intertrochanteric and subtrochanteric femoral fractures, has been criticized for its high risk of secondary shaft fractures. A modified design, the intramedullary hip screw has recently been introduced to correct this complication. We present a case of mechanical failure of this new implant that occurred in a pathological subtrochanteric fracture. The centering sleeve of the implant became loose and migrated while the head screw penetrated the acetabulum. Refixation was successful.Keywords
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