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Femur intermedullar nail backed out full
Can a Femur fracture repair plate's screw get loose and backout nearly fully in 4-5 weeks of surgery? My mother's screw backed out, before union of fractured neck of femur. It was a nearly 3 inches screw (pin) which started moving out and in 55 days of surgery, its nearly fully out, making a remarkable 2-3 inches skin raise on the thigh. 1.What can be the next course of action? 2.What or who is at fault ? 3. Can same pin be pushed in again? 4. Can a new pin-only do, with same main shaft? 5. Do we have to undergo the whole process again, with a new hardware? I can share ct scan dvd data, ct scan films, X-ray images, etc.
Answers (7)
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I am worried. The fixation here with the pinout is of no use here.
The pin may inturn cause pressure sore and pop out in subsequent time, your mother being elderly.
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Surgeries like this demands early rehabilitation and walking. jesing patient on the bed can invite many dreadful complications.
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Consult online.
Rule out infection. Act fast and wise.
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Ya. This needs reinsertion of screw back to the place. Usually same screw can be reinserted back. It s small surgery. Fracture has maintained its alignment even after screw back out. Do no problem is expected in union.
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Position is well maintained
Of the fracture
Better to redo with another implant if required with a locking mechanism taking into consideration the quality of bone
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This can occur, consult your treating doctor and get it reoperated.
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Dr. Jyoti Singh Kapoor
Orthopedist
11 yrs exp
Delhi
Have already given the necessary advise regarding this in a previous query
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Dr. Madhur Mahna
Orthopedist
15 yrs exp
Delhi
This screw needs to be removed as soon as possible and a new screw needs to be inserted
Kindly contact
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Disclaimer : The content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding your medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read on this website.