van Hoef S, Fuchs M C H W, Ten Broeke R H M
Department of Orthopaedic Surgery, Maastricht University Medical Center, P. Debyelaan 25, 6229 HX, Maastricht, Netherlands.
Case Rep Orthop. 2016;2016:5201674. doi: 10.1155/2016/5201674. Epub 2016 May 23.
An 81-year-old female was treated for a pertrochanteric multifragmentary fracture of the proximal femur with a third-generation Gamma nail. After 3 months she presented herself again with acute pain and inability to bear weight on the leg. Radiographs showed medial migration of the lag screw. She was treated with a total hip arthroplasty, after which she was successfully discharged. In this case report the possible causes of this late and unusual complication are discussed.