KMID : 0386420170300040203
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Journal of the Korean Fracture Society 2017 Volume.30 No. 4 p.203 ~ p.208
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Intrapelvic Penetration of Lag Screw in Proximal Femoral Nailing: A Case Report
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Lee Jung-Woo
Cho Hong-Man Seo Jae-Woong
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Abstract
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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.
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KEYWORD
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Intrapelvic penetration, Intertrochanteric fractures, Lag screw migration, Gamma 3
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