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Published on: January 6, 2023
Intra-operative migration of dynamic hip screw into the pelvis
Roop Singh1, Rajesh Kumar Rohillai, Ramchander Siwach
1Department of Orthopaedic Surgery, Paraplegia and Rehabilitation, Pt. B.D. Sharma, PGIMS, Rohtak, Haryana, India. drroopsingh@rediffmail.com
Abstract:
The authors report a rare per-operative complication of intra-pelvic migration of dynamic hip screw, during osteosynthesis of an inter-trochanteric fracture. Possible reasons of migration are analyzed along with the importance of careful execution of the surgical technique to avoid such iatrogenic complications and medico-legal implications.
Insights
A rare complication occurred during hip fracture surgery: a dynamic hip screw migrated into the pelvis. Careful surgical technique is crucial to prevent this rare but serious complication.
Area of Science:
- Orthopedic Surgery
- Surgical Complications
Background:
- Inter-trochanteric fractures are common bone injuries requiring surgical fixation.
- Dynamic hip screws are frequently used for osteosynthesis of these fractures.
Observation:
- A rare intra-operative complication involving the migration of a dynamic hip screw into the pelvic cavity during surgery for an inter-trochanteric fracture was observed.
Findings:
- Analysis of potential causes for the dynamic hip screw migration.
- Emphasis on the critical role of meticulous surgical technique in preventing iatrogenic complications.
Implications:
- Highlights the importance of surgical precision to avoid rare but severe complications.
- Discusses potential medico-legal ramifications associated with intra-operative migration events.
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