medinfoАктуальные проблемы теоретической и клинической медициныActual Problems of Theoretical and Clinical Medicine2790-12892790-1297Казахстанско-Российский медицинский университет10.64854/2790-1289-2026-51-1-08medinfo-961Research ArticleКЛИНИЧЕСКИЙ СЛУЧАЙCLINICAL CASEМЕДИАЛЬНАЯ МИГРАЦИЯ ШЕЕЧНОГО ВИНТА GAMMA-ГВОЗДЯ С ПЕРФОРАЦИЕЙ МОЧЕВОГО ПУЗЫРЯ: КЛИНИЧЕСКИЙ СЛУЧАЙMEDIAL MIGRATION OF A GAMMA NAIL LAG SCREW WITH BLADDER PERFORATION: A CASE REPORThttps://orcid.org/0000-0002-7984-2416АскеровР. А.AskerovR. A.askerov.ramazan@mail.ruhttps://orcid.org/0000-0002-3502-4411ДжумабековА. Т.DzhumabekovA. T.jumabekov@mail.kzКазахстанский медицинский университет «ВШОЗ»КазахстанKazakhstan Medical University «KSPH»Kazakhstan20260104202601129137Copyright © Аскеров Р.А., Джумабеков А.Т., 20262026Аскеров Р.А., Джумабеков А.Т.Askerov R.A., Dzhumabekov A.T.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://kazrosmedjournal.krmu.edu.kz/jour/article/view/961Актуальность

Актуальность. Переломы вертельной области бедренной кости широко распространены среди лиц пожилого возраста и преимущественно лечатся с использованием интрамедуллярных фиксаторов. Несмотря на эффективность данного метода, возможны редкие, но потенциально жизнеугрожающие осложнения.

Клинический случай

Клинический случай. Представлен клинический случай крайне редкого осложнения, медиальной миграции шеечного винта системы Gamma-гвоздя в полость малого таза с перфорацией мочевого пузыря. Пациент обратился с жалобами на боли внизу живота и дизурические расстройства спустя несколько месяцев после остеосинтеза. По данным рентгенологического и томографического обследования выявлено смещение винта в полость мочевого пузыря. Выполнено хирургическое удаление металлоконструкции и ушивание дефекта мочевого пузыря.

Вывод

Вывод. Данный случай демонстрирует возможность развития тяжёлых осложнений даже при удовлетворительных результатах первичного остеосинтеза и подчёркивает необходимость тщательного послеоперационного наблюдения и междисциплинарного подхода к лечению.

Relevance

Relevance. Trochanteric femoral fractures are common in elderly patients and are mainly treated using intramedullary fixation devices. Despite this method's effectiveness, rare but potentially life-threatening complications may occur.

Case report

Case report. We present a clinical case of an extremely rare complication, medial migration of a Gamma nail lag screw into the pelvic cavity with perforation of the urinary bladder. The patient presented with lower abdominal pain and urinary symptoms several months after osteosynthesis. Radiological and tomographic examinations revealed migration of the screw into the urinary bladder. Surgical removal of the implant with subsequent bladder repair was performed.

Conclusion

Conclusion. This clinical case demonstrates the potential for severe complications even after technically satisfactory primary osteosynthesis and highlights the importance of careful postoperative monitoring and a multidisciplinary approach to treatment.

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The authors declare that there are no conflicts of interest present.