Intrapelvic Migration of the Cephalic Screw of a Proximal Femoral Long Intramedullary Nail: Case Report* / Migração intrapélvica do parafuso cefálico da haste intramedular longa para fêmur proximal: Relato de caso
Rev. bras. ortop
;
55(1): 121-124, Jan.-Feb. 2020. graf
Article
in English
| LILACS
| ID: biblio-1092678
ABSTRACT
Abstract The use of cephalomedullary devices has gained popularity in the treatment of proximal femoral fractures. Despite their biomechanical advantages, several complications are well described in the literature. One of these complications, which is rarely reported, is the medial migration of the cephalic screw. The authors present this unusual complication in a case of a long-nail implant, which was treated with removal of the implants as a first step, and posterior osteosynthesis with a locked proximal femur plate as a second step, as well the outcome until fracture consolidation and resolution of the case.
RESUMO
Resumo O uso dos dispositivos cefalomedulares tem ganhado popularidade no tratamento das fraturas do fêmur proximal. Apesar das vantagens biomecânicas, várias complicações são descritas, entre as quais a migração medial do parafuso cefálico é pouco conhecida. Os autores apresentam um caso dessa complicação incomum em um implante de haste longa tratada em dois tempos cirúrgicos para a retirada dos implantes e posterior osteossíntese com placa bloqueada para fêmur proximal, assim como o desfecho até a consolidação da fratura e resolução do caso.
Full text:
Available
Index:
LILACS (Americas)
Main subject:
Prostheses and Implants
/
Equipment and Supplies
/
Femoral Fractures
/
Fracture Fixation
/
Fracture Fixation, Internal
/
Fracture Fixation, Intramedullary
Limits:
Aged
/
Female
/
Humans
Language:
English
Journal:
Rev. bras. ortop
Journal subject:
Orthopedics
Year:
2020
Type:
Article
Affiliation country:
Brazil
Institution/Affiliation country:
Hospital Estadual Jayme dos Santos Neves (HEJSN)/BR
/
Hospital de Vila Velha/BR
/
Orthopedics and Traumatology Service/BR
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