Salvage total hip arthroplasty after two gamma 3 nail failures: a case report
Language English Country Czech Republic Media print
Document type Case Reports, Journal Article
PubMed
26317297
Knihovny.cz E-resources
- MeSH
- Hip Fractures diagnostic imaging surgery MeSH
- Fracture Fixation, Intramedullary adverse effects instrumentation MeSH
- Bone Nails * MeSH
- Bone Screws MeSH
- Humans MeSH
- Arthroplasty, Replacement, Hip methods MeSH
- Treatment Failure MeSH
- Radiography MeSH
- Reoperation MeSH
- Aged MeSH
- Salvage Therapy methods MeSH
- Check Tag
- Humans MeSH
- Aged MeSH
- Female MeSH
- Publication type
- Journal Article MeSH
- Case Reports MeSH
We report a case of 68-year-old female patient who suffered two Gamma 3 nail breakages following trochanteric fixation failure revision surgery. A patient was primarily treated with sliding hip screw. Revision surgeries of reverse trochanteric nonunion were performed with short Gamma 3 nails and bone grafting. The nail failures occurred 11 and 7 months after implantation. This undesired series of events were caused by inappropriate implant selection, thus replacing the nail to a modular total hip arthroplasty was more effective as salvage surgery. Key words: salvage total hip arthroplasty, gamma nail, sliding hip screw, fixation failure, reverse trochanteric fracture, nonunion.