Skip to main content
Log in

Mediale Schenkelhalsschraubendislokation nach Gammanagelosteosynthese einer pertrochantären Femurmetastase

Medial dislocation of hip screw following internal fixation of a pertrochateric metastasis in the femur with gamma nails

  • Kasuistiken
  • Published:
Der Unfallchirurg Aims and scope Submit manuscript

Zusammenfassung

Wird bei der Gammanagelosteosynthese entgegen den standardisierten technischen Vorgaben die Antirotationsschraube nicht eingebracht, kann es zur Dislokation der Schenkelhalsschraube kommen. In den sehr seltenen Fällen einer Migration in das kleine Becken kann dies letale Folgen haben.

Abstract

If the standard technical guidelines are ignored so that the antirotation screw is not correctly placed during gamma nail osteosynthesis, dislocation of the hip screw is possible. In the rare cases of migration into the pelvis, the consequences may be lethal.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Abb. 1
Abb. 2
Abb. 3
Abb. 4

Literatur

  1. Hesse B, Gachter A (2004) Complications following the treatment of trochanteric fractures with the gamanail. Arch Orthop Trauma Surg 124: 692–698

    Article  PubMed  Google Scholar 

  2. Stocker R, Maier R (2005) Leserbrief zu Thies, von Reinhardstoettner. Unfallchirurg 108: 79–80

    Article  PubMed  CAS  Google Scholar 

  3. Suckel A, Helwig P, Schirmer A et al. (2003) Complication rate in the treatment of inter- and subtrochanteric femur fractures with two intramedullary osteosyntheses. Zentralbl Chir 128: 212–217

    Article  PubMed  CAS  Google Scholar 

  4. Tauber M, Resch H (2006) Sigmoid perforation after medial migration of lag screw in gammanailing. Arch Orthop Trauma Surg 126: 118–122

    Article  PubMed  Google Scholar 

  5. Thies H, Reinhardstoettner C von (2004) Mediales Auswandern der Schenkelhalsschraube bei Gammanagelung. Unfallchirurg 107: 709–711

    PubMed  CAS  Google Scholar 

Download references

Interessenkonflikt

Der korrespondierende Autor gibt an, dass kein Interessenkonflikt besteht.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to U. Horas.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Horas, U., Ernst, S. Mediale Schenkelhalsschraubendislokation nach Gammanagelosteosynthese einer pertrochantären Femurmetastase. Unfallchirurg 111, 746–748 (2008). https://doi.org/10.1007/s00113-007-1377-5

Download citation

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00113-007-1377-5

Schlüsselwörter

Keywords

Navigation