CC BY-NC-ND 4.0 · Rev Bras Ortop (Sao Paulo) 2020; 55(01): 121-124
DOI: 10.1016/j.rbo.2017.12.004
Relato de Caso
Sociedade Brasileira de Ortopedia e Traumatologia. Published by Thieme Revinter Publicações Ltda Rio de Janeiro, Brazil

Intrapelvic Migration of the Cephalic Screw of a Proximal Femoral Long Intramedullary Nail: Case Report*

Article in several languages: português | English
Elton Luiz Batista Cavalcante
1  Serviço de Ortopedia e Traumatologia, Centro Médico Hospitalar Vila Velha (CMHVV), Vila Velha, ES, Brasil
,
Fernando Junqueira de Faria
1  Serviço de Ortopedia e Traumatologia, Centro Médico Hospitalar Vila Velha (CMHVV), Vila Velha, ES, Brasil
,
Rubens Azevedo Rodrigues
2  Serviço de Ortopedia e Traumatologia, Hospital Estadual Jayme dos Santos Neves (HEJSN), Serra, ES, Brasil
,
José Eduardo Grandi Ribeiro Filho
3  Departamento de Ortopedia e Traumatologia, Hospital de Vila Velha, Vila Velha, ES, Brasil
,
3  Departamento de Ortopedia e Traumatologia, Hospital de Vila Velha, Vila Velha, ES, Brasil
,
Nelson Elias
1  Serviço de Ortopedia e Traumatologia, Centro Médico Hospitalar Vila Velha (CMHVV), Vila Velha, ES, Brasil
› Author Affiliations
Further Information

Publication History

10 November 2017

07 December 2017

Publication Date:
19 December 2019 (online)

Abstract

The use of cephalomedullary devices has gained popularity in the treatment of proximal femoral fractures. Despite their biomechanical advantages, several complications are well described in the literature. One of these complications, which is rarely reported, is the medial migration of the cephalic screw. The authors present this unusual complication in a case of a long-nail implant, which was treated with removal of the implants as a first step, and posterior osteosynthesis with a locked proximal femur plate as a second step, as well the outcome until fracture consolidation and resolution of the case.

* Study conducted at the Orthopedics and Traumatology Service, Centro Médico Hospitalar Vila Velha (CMHVV), Vila Velha, ES, Brazil. Originally Published by Elsevier Editora Ltda.