Endovascular assisted removal of intrapelvic lag screw after intramedullary proximal femoral nail: A case report and literature review
Background: Trochanteric fractures are very common hip injuries often fixed with intramedullary nailing as the recommended treatment. Medial lag screw migration of the intramedullary nail system is an uncommon complication. The objective of this case report is to highlight the importance of optimal...
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| Format: | Article |
| Language: | English |
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Elsevier
2023-08-01
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| Series: | Trauma Case Reports |
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| Online Access: | http://www.sciencedirect.com/science/article/pii/S2352644023001218 |
| _version_ | 1797802821712609280 |
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| author | Zakaria Mousati Mathias Van Den Broek Joren Callaert Jan Gielis Kris Govaers |
| author_facet | Zakaria Mousati Mathias Van Den Broek Joren Callaert Jan Gielis Kris Govaers |
| author_sort | Zakaria Mousati |
| collection | DOAJ |
| description | Background: Trochanteric fractures are very common hip injuries often fixed with intramedullary nailing as the recommended treatment. Medial lag screw migration of the intramedullary nail system is an uncommon complication. The objective of this case report is to highlight the importance of optimal reduction in hip fractures and the need for a multidisciplinary approach with vascular assistance in intrapelvic lag screw migration. Case report and results: We collected 24 cases of intrapelvic migration of the lag screw in the latest literature. Here, we report the case of a 68-year-old patient with medial pelvic migration of the lag screw after minor trauma and its removal using peroperative simultaneous angiography. After removal of the osteosynthesis material, a revision to a total hip arthroplasty was performed. Conclusion/discussion: This is the first case demonstrating an endovascular assisted removal simultaneous with revision surgery. We suggest that a multidisciplinary approach is warranted in which the orthopedic surgeon is assisted by a vascular surgeon. An endovascular assisted open removal of the lag screw with conversion to a hip arthroplasty is considered a safe treatment. |
| first_indexed | 2024-03-13T05:12:31Z |
| format | Article |
| id | doaj.art-e7ba294e68d2465d9020dd437c78b082 |
| institution | Directory Open Access Journal |
| issn | 2352-6440 |
| language | English |
| last_indexed | 2024-03-13T05:12:31Z |
| publishDate | 2023-08-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Trauma Case Reports |
| spelling | doaj.art-e7ba294e68d2465d9020dd437c78b0822023-06-16T05:10:13ZengElsevierTrauma Case Reports2352-64402023-08-0146100873Endovascular assisted removal of intrapelvic lag screw after intramedullary proximal femoral nail: A case report and literature reviewZakaria Mousati0Mathias Van Den Broek1Joren Callaert2Jan Gielis3Kris Govaers4Department of Orthopaedics and Trauma, AZ Sint Blasius, Dendermonde, Belgium; Corresponding author at: AZ Sint Blasius, Kroonveldlaan 50, 9200 Dendermonde, Belgium.Department of Orthopaedics and Trauma, AZ Sint Blasius, Dendermonde, BelgiumDepartment of Vascular Surgery, AZ Sint Blasius, Dendermonde, BelgiumDepartment of Vascular Surgery, AZ Sint Blasius, Dendermonde, BelgiumDepartment of Orthopaedics and Trauma, AZ Sint Blasius, Dendermonde, BelgiumBackground: Trochanteric fractures are very common hip injuries often fixed with intramedullary nailing as the recommended treatment. Medial lag screw migration of the intramedullary nail system is an uncommon complication. The objective of this case report is to highlight the importance of optimal reduction in hip fractures and the need for a multidisciplinary approach with vascular assistance in intrapelvic lag screw migration. Case report and results: We collected 24 cases of intrapelvic migration of the lag screw in the latest literature. Here, we report the case of a 68-year-old patient with medial pelvic migration of the lag screw after minor trauma and its removal using peroperative simultaneous angiography. After removal of the osteosynthesis material, a revision to a total hip arthroplasty was performed. Conclusion/discussion: This is the first case demonstrating an endovascular assisted removal simultaneous with revision surgery. We suggest that a multidisciplinary approach is warranted in which the orthopedic surgeon is assisted by a vascular surgeon. An endovascular assisted open removal of the lag screw with conversion to a hip arthroplasty is considered a safe treatment.http://www.sciencedirect.com/science/article/pii/S2352644023001218FemurIntertrochanteric fractureLag screwMigrationEndovascularAngiography |
| spellingShingle | Zakaria Mousati Mathias Van Den Broek Joren Callaert Jan Gielis Kris Govaers Endovascular assisted removal of intrapelvic lag screw after intramedullary proximal femoral nail: A case report and literature review Trauma Case Reports Femur Intertrochanteric fracture Lag screw Migration Endovascular Angiography |
| title | Endovascular assisted removal of intrapelvic lag screw after intramedullary proximal femoral nail: A case report and literature review |
| title_full | Endovascular assisted removal of intrapelvic lag screw after intramedullary proximal femoral nail: A case report and literature review |
| title_fullStr | Endovascular assisted removal of intrapelvic lag screw after intramedullary proximal femoral nail: A case report and literature review |
| title_full_unstemmed | Endovascular assisted removal of intrapelvic lag screw after intramedullary proximal femoral nail: A case report and literature review |
| title_short | Endovascular assisted removal of intrapelvic lag screw after intramedullary proximal femoral nail: A case report and literature review |
| title_sort | endovascular assisted removal of intrapelvic lag screw after intramedullary proximal femoral nail a case report and literature review |
| topic | Femur Intertrochanteric fracture Lag screw Migration Endovascular Angiography |
| url | http://www.sciencedirect.com/science/article/pii/S2352644023001218 |
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