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Updated: Jul 19, 2026
A Teleoperated Robotic System-Assisted Percutaneous Transiliac-Transsacral Screw Fixation Technique
Published on: January 6, 2023
Sliding hip screw in pelvis: a rare intra-operative complication
S Naidu Maripuri1, U K Debnath, S Hemmadi
1Department of Trauma and Orthopaedics, University Hospital of Wales, Heath Park, Cardiff, CF14 4XW, UK. naidumsuk@yahoo.co.in
Abstract:
We are presenting an unusual intra-operative complication of penetration of sliding hip screw (SHS) into the pelvis during fixation of an intertrochanteric fracture neck of femur in a 78-year-old man along with the technique of retrieving it.
Insights
A sliding hip screw (SHS) penetrated the pelvis during surgery for a 78-year-old man's femur fracture. This report details the rare complication and its successful surgical retrieval.
Area of Science:
- Orthopedic Surgery
- Trauma Management
- Surgical Complications
Background:
- Intertrochanteric femur fractures are common in the elderly.
- Sliding hip screw (SHS) fixation is a standard surgical procedure.
- Intra-operative complications, though rare, require prompt management.
Observation:
- An unusual intra-operative complication occurred during SHS fixation.
- The SHS penetrated the pelvic bone during the procedure.
- The patient was a 78-year-old male with an intertrochanteric fracture.
Findings:
- The sliding hip screw (SHS) migrated into the pelvis.
- A novel technique was employed for the safe retrieval of the SHS.
- Successful fixation and removal were achieved without further complications.
Implications:
- Highlights the importance of vigilance during SHS fixation.
- Provides a valuable case study for managing SHS pelvic penetration.
- Contributes to the literature on rare orthopedic surgical complications.
