Rescue Arthroplasty After Cut in Cephalomedullary Hip Nail
López Reyes Alberto1,2, Gutiérrez Rojas Saúl1,2, Vilo Ulloa Francisco1,2, Cárdenas Serón Juan1,2 and Gatica Carbonell Javier1,2
1Pelvis Hip Unit, Department of Traumatology and Orthopedics, Hospital Barros Luco Trudeau, San Miguel, Santiago de Chile
2University of Santiago, Chile (USACH). Barros Luco Hospital Clinical Campus. Adult Orthopedics and Traumatology
*Corresponding Author: López Reyes Alberto, Pelvis Hip Unit, Department of Traumatology and Orthopedics, Barros Luco Trudeau Hospital, San Miguel, Santiago, de Chile.
June 27, 2023; Published: July 28, 2023
The use of intramedullary devices has increased, representing the first treatment option in pertrochanteric fractures. The most common mechanism of osteosynthesis failure is the cut out of the cephalic screw with secondary varus collapse of the femoral neck-shaft angle. We present a case of osteosynthesis failure after hip fracture with migration of the cephalic screw of a gamma 3® nail, with the rare complication of migration of the nail towards the pelvis (cut in). In this case, we opted to perform a rescue arthroplasty once the osteosynthesis material was removed. Achieving a good result in terms of pain relief and recovering the functionality of our patient.
Conclusion: Calcaneal Fractures; Minimally Invasive; Sinus Tarsi Approach.
Keywords: Cut In; Osteosynthesis Failure; Salvage Arthroplasty
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