Intrapelvic Migration of Dynamic Hip Screw Postoperatively Leading to Total Hip Arthroplasty: A Case Report
-
Mir Mansour Moazen Jamshidi
,
Alireza Moharrami
,
Pouya Tabatabaei irani
,
Mohammad Ali Ghasemi
,
Amir Reza Mafi
,
SM Javad Mortazavi
Abstract
Background: This study aimed to present a rare case of a failed dynamic hip screw (DHS) used for fixation of intertrochanteric fracture sliding into the pelvis and to review the most common causes of DHS failure in order to prevent this from happening in the future.
Case Report: A 68-year-old woman was referred to the orthopedics clinic with left hip pain and limping from 6 months ago. In our evaluation, she had DHS failure and intrapelvic protrusion.
Conclusion: There have been several aspects of the previously described DHS failure. We performed a two-stage total hip arthroplasty (THA) for the patient with a good one-year follow-up in the present case.
and green's fractures in adults. Philadelphia, PA: Lippincott Williams and Wilkins; 2019.
2. Parker M, Johansen A. Hip fracture. BMJ. 2006;333(7557):27-30.
doi: 10.1136/bmj.333.7557.27. [PubMed: 16809710]. [PubMed Central: PMC1488757].
3. Flores LA, Harrington IJ, Heller M. The stability of intertrochanteric fractures treated with a sliding screw-plate. J Bone Joint Surg Br. 1990;72(1):37-40. doi: 10.1302/0301- 620X.72B1.2298792. [PubMed: 2298792].
4. Davis TR, Sher JL, Horsman A, Simpson M, Porter BB, Checketts RG. Intertrochanteric femoral fractures. Mechanical failure after internal fixation. J Bone Joint Surg Br. 1990;72(1):26-31. doi: 10.1302/0301-620X.72B1.2298790. [PubMed: 2298790].
5. Kaufer H, Matthews LS, Sonstegard D, Arbor A. Stable fixation of intertrochanteric fractures: A biomechanical evaluation.
J Bone Joint Surg. 1974;56(5): 899-907.
6. Madsen JE, Naess L, Aune AK, Alho A, Ekeland A, Stromsoe K. Dynamic hip screw with trochanteric stabilizing plate in the treatment of unstable proximal femoral fractures: A comparative study with the Gamma nail and compression hip screw. J Orthop Trauma. 1998;12(4):241-8. doi: 10.1097/00005131-199805000-00005. [PubMed: 9619458].
7. Singh R, Rohillai RK, Siwach R, Singh Z, Magu NK, Sangwan SS. Intra-operative migration of dynamic hip screw into the pelvis. J Coll Physicians Surg Pak. 2010;20(5):341-2. [PubMed: 20642931].
8. Zarattini G, Breda L, Zacharia M, Sibona F. Intra-pelvic migration of sliding hip screw during osteosynthesis of hip fracture: A rare avoidable intraoperative complication. J Orthop Case Rep. 2015;5(3):25-8. doi: 10.13107/jocr.2250-
0685.299. [PubMed: 27299061]. [PubMed Central: PMC4719392].
9. Naidu MS, Debnath UK, Hemmadi S, Wilson C. Sliding hip screw in pelvis: a rare intra-operative complication. Arch Orthop Trauma Surg. 2007;127(7):523-5. doi: 10.1007/s00402- 006-0242-2. [PubMed: 17089171].
10. Ghasemi MA, Ghadimi E, Shamabadi A, Mortazavi SJ. The perioperative management of antiplatelet and anticoagulant drugs in hip fractures: Do the surgery as early as possible. Arch Bone Jt Surg. 2021. doi: 10.22038/abjs.2021.56396.2800. [In Press].
11. Larsson S, Friberg S, Hansson LI. Trochanteric fractures. Mobility, complications, and mortality in 607 cases treated with the sliding-screw technique. Clin Orthop Relat Res. 1990;(260):232-41. [PubMed: 1699695].
12. Moreyra CE, Lavernia CJ, Cooke CC. Late vascular injury following intertrochanteric fracture reduction with sliding hip screw. J Surg Orthop Adv. 2004;13(3):170-3. [PubMed: 15559694].
13. Bhatti A, Abbasi A. Intra pelvic total migration of sliding screw in intertrochanteric fracture. J Coll Physicians Surg Pak. 2007;17(6):371-3. [PubMed: 17623593].
14. Brodell JD, Leve AR. Disengagement and intrapelvic protrusion of the screw from a sliding screw-plate device. A case report. J Bone Joint Surg Am. 1983;65(5):697-701. [PubMed: 6853579].
15. Joseph KN. Acetabular penetration of sliding screw. A case of trochanteric hip fracture. Acta Orthop Scand. 1986;57(3):245-6. doi: 10.3109/17453678608994389. [PubMed: 3739668].
2. Parker M, Johansen A. Hip fracture. BMJ. 2006;333(7557):27-30.
doi: 10.1136/bmj.333.7557.27. [PubMed: 16809710]. [PubMed Central: PMC1488757].
3. Flores LA, Harrington IJ, Heller M. The stability of intertrochanteric fractures treated with a sliding screw-plate. J Bone Joint Surg Br. 1990;72(1):37-40. doi: 10.1302/0301- 620X.72B1.2298792. [PubMed: 2298792].
4. Davis TR, Sher JL, Horsman A, Simpson M, Porter BB, Checketts RG. Intertrochanteric femoral fractures. Mechanical failure after internal fixation. J Bone Joint Surg Br. 1990;72(1):26-31. doi: 10.1302/0301-620X.72B1.2298790. [PubMed: 2298790].
5. Kaufer H, Matthews LS, Sonstegard D, Arbor A. Stable fixation of intertrochanteric fractures: A biomechanical evaluation.
J Bone Joint Surg. 1974;56(5): 899-907.
6. Madsen JE, Naess L, Aune AK, Alho A, Ekeland A, Stromsoe K. Dynamic hip screw with trochanteric stabilizing plate in the treatment of unstable proximal femoral fractures: A comparative study with the Gamma nail and compression hip screw. J Orthop Trauma. 1998;12(4):241-8. doi: 10.1097/00005131-199805000-00005. [PubMed: 9619458].
7. Singh R, Rohillai RK, Siwach R, Singh Z, Magu NK, Sangwan SS. Intra-operative migration of dynamic hip screw into the pelvis. J Coll Physicians Surg Pak. 2010;20(5):341-2. [PubMed: 20642931].
8. Zarattini G, Breda L, Zacharia M, Sibona F. Intra-pelvic migration of sliding hip screw during osteosynthesis of hip fracture: A rare avoidable intraoperative complication. J Orthop Case Rep. 2015;5(3):25-8. doi: 10.13107/jocr.2250-
0685.299. [PubMed: 27299061]. [PubMed Central: PMC4719392].
9. Naidu MS, Debnath UK, Hemmadi S, Wilson C. Sliding hip screw in pelvis: a rare intra-operative complication. Arch Orthop Trauma Surg. 2007;127(7):523-5. doi: 10.1007/s00402- 006-0242-2. [PubMed: 17089171].
10. Ghasemi MA, Ghadimi E, Shamabadi A, Mortazavi SJ. The perioperative management of antiplatelet and anticoagulant drugs in hip fractures: Do the surgery as early as possible. Arch Bone Jt Surg. 2021. doi: 10.22038/abjs.2021.56396.2800. [In Press].
11. Larsson S, Friberg S, Hansson LI. Trochanteric fractures. Mobility, complications, and mortality in 607 cases treated with the sliding-screw technique. Clin Orthop Relat Res. 1990;(260):232-41. [PubMed: 1699695].
12. Moreyra CE, Lavernia CJ, Cooke CC. Late vascular injury following intertrochanteric fracture reduction with sliding hip screw. J Surg Orthop Adv. 2004;13(3):170-3. [PubMed: 15559694].
13. Bhatti A, Abbasi A. Intra pelvic total migration of sliding screw in intertrochanteric fracture. J Coll Physicians Surg Pak. 2007;17(6):371-3. [PubMed: 17623593].
14. Brodell JD, Leve AR. Disengagement and intrapelvic protrusion of the screw from a sliding screw-plate device. A case report. J Bone Joint Surg Am. 1983;65(5):697-701. [PubMed: 6853579].
15. Joseph KN. Acetabular penetration of sliding screw. A case of trochanteric hip fracture. Acta Orthop Scand. 1986;57(3):245-6. doi: 10.3109/17453678608994389. [PubMed: 3739668].
| Files | ||
| Issue | Vol 8, No 2 (2022) | |
| Section | Case Report | |
| DOI | https://doi.org/10.18502/jost.v8i2.9316 | |
| Keywords | ||
| Equipment Failure Bone Screws Hip Fractures Total Hip Arthroplasty | ||
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How to Cite
1.
Moazen Jamshidi MM, Moharrami A, Tabatabaei irani P, Ghasemi MA, Mafi AR, Mortazavi SJ. Intrapelvic Migration of Dynamic Hip Screw Postoperatively Leading to Total Hip Arthroplasty: A Case Report. J Orthop Spine Trauma. 2022;8(2):69-71.
