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Skip Navigation LinksHome > September 2011 - Volume 25 - Issue 9 > Acetabular Perforation After Medial Migration of the Helical...
Journal of Orthopaedic Trauma:
doi: 10.1097/BOT.0b013e3181fae12e
Case Report

Acetabular Perforation After Medial Migration of the Helical Blade Through the Femoral Head After Treatment of an Unstable Trochanteric Fracture With Proximal Femoral Nail Antirotation (PFNA): A Case Report

Takigami, Iori MD*; Ohnishi, Kazuichiro MD, PhD†; Ito, Yoshiki MD, PhD*; Nagano, Akihito MD, PhD*; Sumida, Hisashi MD*; Tanaka, Kaori MD†; Shimizu, Katsuji MD, DMSc*

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Abstract

The proximal femoral nail antirotation is a new generation of intramedullary device for the treatment of trochanteric femoral fractures, having a helical blade rather than a screw for suggested better purchase in osteoporotic bone. However, it is not free of complications. Few reports are available on postoperative perforation of the helical blade through the femoral head as a unique complication of proximal femoral nail antirotation. We report a 79-year-old woman with acetabular perforation after migration of the helical blade through the femoral head after an unstable trochanteric fracture, which was fixed with a proximal femoral nail antirotation.

© 2011 Lippincott Williams & Wilkins, Inc.

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