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Hip screw lateral migration with no cut-out or non-union implication: a case report
Nikolaos Lasanianos1, Georgios Mouzopoulos, Ioannis Georgilas
11st Trauma and Orthopaedic Surgery Department "Evangelismos" General Hospital of Athens Lontou 12, Palea Penteli, 15236, Athens, Greece. lasagrc@hotmail.com
Cases Journal
|February 26, 2010
Summary
Lateral hip screw migration is a rare complication of trochanteric fracture fixation. This case highlights a rare instance of lateral migration after intramedullary osteosynthesis, successfully treated with screw removal.
Area of Science:
- Orthopedic Surgery
- Trauma Management
Background:
- Hip screw migration is a known complication of pertrochanteric fracture fixation.
- Medial migration is more common, while lateral migration is infrequent.
Purpose of the Study:
- To report a rare case of lateral hip screw migration following intramedullary osteosynthesis for a trochanteric fracture.
- To emphasize the importance of surgical technique and follow-up imaging.
Main Methods:
- Case report of an 85-year-old female patient.
- Intramedullary osteosynthesis for a trochanteric fracture.
- Observation of hip screw migration and subsequent management.
Main Results:
- The patient experienced lateral hip screw migration.
- No impact on mobilization, cut-out, or non-union was observed.
- Surgical removal of the migrated screw resolved discomfort.
Conclusions:
- Lateral hip screw migration is a rare but possible complication.
- Proper surgical technique and radiographic evaluation after re-injury are crucial, even in ambulatory patients.
