Unusual Case of Osteosynthesis Failure in a Hip Fracture: Side-Plate Pull-Out

Abstract

Osteoporotic hip fractures are common in our setting. Poor bone quality favors complications of the osteosynthesis procedures used to treat these patients. Lag-screw cut-out through the femoral head is not uncommon (2%), but pull-out of side plate screws is very unusual. We present the case of a patient with a stable osteoporotic fracture treated by osteosynthesis using a four-hole plate, who presented with a pull-out following a low-energy fall.