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Intertrochanteric fracture non-unions with implant failure of the gamma nail.

Sbiyaa M, El Alaoui A, Admi M, Lahrach K, Marzouki A, Boutayeb F - Pan Afr Med J (2016)

Bottom Line: Failure of internal fixation of intertrochanteric fracture is associated with delayed union or malunion resulting in persistent pain and diminished function.We report a rare case of implant failure of the gamma nail with intertrochanteric fracture non union treated by DCS plate screw and bone graft.

View Article: PubMed Central - PubMed

Affiliation: Service de Chirurgie Orthopédique et Traumatologique (A), Pr F. Boutayeb, CHU Hassan II de Fès, Maroc.

ABSTRACT
Failure of internal fixation of intertrochanteric fracture is associated with delayed union or malunion resulting in persistent pain and diminished function. We report a rare case of implant failure of the gamma nail with intertrochanteric fracture non union treated by DCS plate screw and bone graft.

No MeSH data available.


Related in: MedlinePlus

Fracture of gamma nail
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Figure 0003: Fracture of gamma nail

Mentions: The patient was a 67-year-old female with a good life quality, who presented an unstable intertrochanteric fracture of his left femur, Kyle and Gustilo type III following a fall at home. She underwent surgical fixation of his fracture with a short trochanteric Gamma nail, with a cervico diaphyseal angle of 130° and a distal diameter of 11 mm. The cephalic screw was 90 mm long; proximal static locking was performed. Postoperative radiographs showed acceptable reduction of the fracture. Four months later, the patient started complaining of permanent pain in his left hip, which became more severe over a few days, resulting in complete disability. He did not recall any trauma or unusual efforts. On physical examination, there was pain on palpation of the left trochanter as well as on mobilisation, particularly in rotation. The surgical wound was unremarkable. Radiographs showed breakage of the nail, at the opening for the cervical screw (Figure 1), resulting in an angulation between the nail and the cephalic screw. The fracture showed no signs of healing; the fracture line was still visible, with sclerosis ofthe bone ends, typical for a nonunion. The broken nail was removed (Figure 2, Figure 3) and a DCS plate screw was implanted with bone graft levied from the iliac crest (Figure 4,Figure 5, Figure 6). Early weight-bearing was encouraged. All bacteriological samples taken were sterile. Two months later, radiographs showed healing of the fracture (Figure 7). The patient is presently asymptomatic, walking without help.


Intertrochanteric fracture non-unions with implant failure of the gamma nail.

Sbiyaa M, El Alaoui A, Admi M, Lahrach K, Marzouki A, Boutayeb F - Pan Afr Med J (2016)

Fracture of gamma nail
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4862775&req=5

Figure 0003: Fracture of gamma nail
Mentions: The patient was a 67-year-old female with a good life quality, who presented an unstable intertrochanteric fracture of his left femur, Kyle and Gustilo type III following a fall at home. She underwent surgical fixation of his fracture with a short trochanteric Gamma nail, with a cervico diaphyseal angle of 130° and a distal diameter of 11 mm. The cephalic screw was 90 mm long; proximal static locking was performed. Postoperative radiographs showed acceptable reduction of the fracture. Four months later, the patient started complaining of permanent pain in his left hip, which became more severe over a few days, resulting in complete disability. He did not recall any trauma or unusual efforts. On physical examination, there was pain on palpation of the left trochanter as well as on mobilisation, particularly in rotation. The surgical wound was unremarkable. Radiographs showed breakage of the nail, at the opening for the cervical screw (Figure 1), resulting in an angulation between the nail and the cephalic screw. The fracture showed no signs of healing; the fracture line was still visible, with sclerosis ofthe bone ends, typical for a nonunion. The broken nail was removed (Figure 2, Figure 3) and a DCS plate screw was implanted with bone graft levied from the iliac crest (Figure 4,Figure 5, Figure 6). Early weight-bearing was encouraged. All bacteriological samples taken were sterile. Two months later, radiographs showed healing of the fracture (Figure 7). The patient is presently asymptomatic, walking without help.

Bottom Line: Failure of internal fixation of intertrochanteric fracture is associated with delayed union or malunion resulting in persistent pain and diminished function.We report a rare case of implant failure of the gamma nail with intertrochanteric fracture non union treated by DCS plate screw and bone graft.

View Article: PubMed Central - PubMed

Affiliation: Service de Chirurgie Orthopédique et Traumatologique (A), Pr F. Boutayeb, CHU Hassan II de Fès, Maroc.

ABSTRACT
Failure of internal fixation of intertrochanteric fracture is associated with delayed union or malunion resulting in persistent pain and diminished function. We report a rare case of implant failure of the gamma nail with intertrochanteric fracture non union treated by DCS plate screw and bone graft.

No MeSH data available.


Related in: MedlinePlus