RESUMEN
The expected number of hip fractures worldwide will rise from 1.7 million in 1990, to 6.3 million in 2050. In parallel, surgical complications are expected to increase. We describe a rare complication of intrapelvic migration of the lag screw from trochanteric nail in a 90-year-old woman.
RESUMEN
Fractures of the proximal femur are common in the elderly population. Intramedullary nailing has become the standard treatment for intertrochanteric fractures although several extramedullary implants (e.g. dynamic hip screw (DHS), blade plate, locking compression plate (LCP), etc.) exist. However, despite this being a very common operation in traumatology, there are numerous associated complications. We report the rare complication of the migration of the medial lag screw into the pelvis at five and a half weeks postoperatively. The implant was removed and replaced by a total hip arthroplasty with simultaneous grafting of the acetabular defect and strapping of the greater trochanter. The evolution was favourable. We also present a review of the literature and analyze our case.