Sigmoid perforation after medial migration of lag screw in gamma nailing

Arch Orthop Trauma Surg. 2006 Mar;126(2):118-22. doi: 10.1007/s00402-005-0085-2. Epub 2006 Jan 3.

Abstract

Medial lag screw migration in Gamma nailing is a rare complication. In an 84-year-old woman, the medial migration of the lag screw into the pelvic was observed 8 weeks after intramedullary osteosynthesis of a trochanteric fracture by Gamma nailing. Total hip replacement was performed after removal of the Gamma nail. Twelve weeks later, the patient developed a sepsis and was revised for retroperitoneal abscess formation extended to the interested hip region. The reason for the retroperitoneal abscess was the undetected sigmoid perforation due to the migrated lag screw. After radical surgical and antibiotic therapy, the complication could be handled with a satisfactory clinical outcome.

Publication types

  • Case Reports

MeSH terms

  • Aged, 80 and over
  • Arthroplasty, Replacement, Hip / methods*
  • Bone Nails / adverse effects*
  • Device Removal
  • Female
  • Follow-Up Studies
  • Foreign-Body Migration / diagnostic imaging
  • Foreign-Body Migration / etiology
  • Foreign-Body Migration / surgery*
  • Fracture Fixation, Intramedullary / adverse effects
  • Fracture Fixation, Intramedullary / instrumentation
  • Hip Fractures / diagnostic imaging
  • Hip Fractures / surgery*
  • Humans
  • Intestinal Perforation / diagnostic imaging
  • Intestinal Perforation / etiology*
  • Intestinal Perforation / surgery*
  • Laparotomy / methods
  • Radiography
  • Reoperation / methods
  • Risk Assessment
  • Sigmoid Diseases / diagnostic imaging
  • Sigmoid Diseases / etiology
  • Sigmoid Diseases / surgery
  • Treatment Outcome