Acta Chir Orthop Traumatol Cech. 2015; 82(3):239-242 | DOI: 10.55095/achot2015/036
Salvage Total Hip Arthroplasty after Two Gamma 3 Nail Failures: A Case ReportCase report
- 1 Clinic for Orthopaedic and Trauma Surgery, Clinical Center Kragujevac, Serbia
- 2 Faculty of Medical Science, University of Kragujevac, Serbia
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 non-union 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.
Keywords: salvage total hip arthroplasty, gamma nail, sliding hip screw, fixation failure, reverse trochanteric fracture, non-union
Published: June 1, 2015 Show citation
References
- ALVAREZ, D. B., APRACIO, J. P., FERNANDEZ, E. L., MÚGICA, I. G., BATALLA, D. N., JIMÉNEZ, J. P.: Implant breakage, a rare complication with the Gamma nail. A review of 843 fractures of the proximal femur treated with a Gamma nail. Acta Orthop. Belg., 70: 435-443, 2004.
- BARTONÍČEK, J., DOUŠA, P., KRBEC, M.: Complications of osteosynthesis of proximal femur fractures by the gamma nail. Acta Chir. orthop. Traum. čech., 65: 84-89, 1998.
- BIBER, R., BAIL, H. J., STEDFELD, H. W.: Lateral cortical notching in specific cases of delayed unions or nonunions after intertrochanteric and reversed fractures. Arch. Orthop. Trauma Surg., 133: 495-501, 2013.
Go to original source...
Go to PubMed...
- DE HAAN, A. M., GROAT, T., PRIDDY M., ELLIS, T. J., DUWELIUS, P. J., FRIESS, D. M., MIRZA, A. J.: Salvage hip arthroplasty after failed fixation of proximal femur fractures. J. Arthroplasty, 28: 855-859, 2013.
Go to original source...
Go to PubMed...
- DOCQUIER, P. L., MANCHE, E., AUTRIQUE, J. C., GEULETTE, B. : Complications associated with Gamma nailing. A review of 439 cases. Acta Orthop. Belg., 68: 251-257, 2002.
- HAIDUKEWYCH, G. J.: Intertrochanteric fractures: ten tips to improve results. Instr. Course Lect., 59: 503-509, 2010.
- IWAKURA, T., NIIKURA, T., LEE, S.Y., SAKAI, Y., NISHIDA, K., KURODA, R., KUROSAKA, M.: Breakage of a third generation Gamma nail: A case report and review of the literature. Hindawi Publishing Corporation Case Reports in Orthopedics Article ID 172352, 5 p., 2013.
Go to original source...
- MAES, M., DEBOER, Y., BRABANTS, K.: Failure of the titanium trochanteric Gamma nail in ununited metastatic fractures. Acta Orthop. Belg., 78: 552-557, 2012.
- NAJIBI, S., MARK, L., FEHNEL, D.: Mechanical failure of the long gamma nail in two proximal femur fractures. Iowa Orthop. J., 30: 205-210, 2010.
- PATEL, A., BLISS, J., CALFFE, R. P., FROEHLIH, J., LIMBIRD, R.: Modular femoral stem-sleeve junction failure after primary total hip arthroplasty. J. Arthroplasty, 24: 1143, e 1-5, 2009.
Go to original source...
Go to PubMed...
- PERVEZ, H., PARKER, M. J.: Results of the long Gamma nail for complex proximal femoral fractures. Injury, 32: 704-707, 2001.
Go to original source...
Go to PubMed...
- THAKUR, R. R., DESHMUKH, A. J., GOYAL, A., RANAWAT, A. S., RASQUINHA, V. J., RODRIGEZ, J.A.: Management of failed trochanteric fracture fixation with cementless modular hip arthroplasty using a distally fixing stem. J. Arthroplasty, 26: 398-403, 2011.
Go to original source...
Go to PubMed...
- TZIOUPIS, C., PANTELIADIS, P., GAMIE, Z., TSIRIDIS, E.: Revision of a nonunited subtrochanteric femoral fracture around a failed intramedullary nail with the use of RIA products, BMP-7 and hydroxyapatite: a case report. J. Med. Case Rep., 5: 87, 2011.
Go to original source...
Go to PubMed...
- VAQUERO, J., MUNOZ, J., PRAT, S., RAMIREZ, C., AGUADO, H. J., MORENO, E., PEREZ, M. D.: Proximal femoral nail antirotation versus Gamma3 nail for intramedullary nailing of unstable trochanteric fractures. A randomised comparative study. Injury, 43 (Suppl. 2): S47-54, 2012.
Go to original source...
Go to PubMed...
- WEE, J. L. H., SATATHAPPAN, S. S., YEO, M. S. W., LOW, Y. P.: Management of Gamma nail breakage with bipolar hemi-arthroplasty. Singapore Med. J., 50: 44-47, 2009.