Contents lists available at ScienceDirect Trauma Case Reports journal homepage: www.elsevier.com/locate/tcr Case Report Cement leakage into the hip joint during TFN-A cement augmentation in a revision surgery of an extra-capsular hip fracture Lionel Llano ⁎ , Fernando Diaz-Dilernia, Danilo Taype, Carlos Sancineto, Jorge Barla, Guido Carabelli Institute of Orthopaedics “Carlos E. Ottolenghi”, Italian Hospital of Buenos Aires, 4247 Potosí St., C1199ACK Buenos Aires, Argentina ARTICLE INFO Keywords: Extracapsular hip fracture Cut through Cement augmentation Nail revision surgery ABSTRACT Introduction: The intra-articular migration of the spiral lamina or screw, after close reduction and internal fixation (CRIF) with an intramedullary cervicodiaphyseal nail (cut-through), is one of the most frequent postoperative complications. We present a patient with a cut-through and cement leakage into the hip joint after TFN-A cement augmentation and spiral lamina replacement. Methods: A 83-year-old man, suffered a cut-through after CRIF of his left extracapsular hip fracture during the third postoperative month. A revision surgery was planned, including spiral lamina replacement and cement augmentation. Cement leakage into the hip joint was confirmed in the immediate postoperative radiograph and a new intervention was indicated with the re- moval of the third bodies. Results: The patient presented good clinical evolution, without functional limitation or pain. In routinely postoperative radiographic controls, no differences were observed respect to the im- mediate postoperative one. Discussion: Current literature dealing with implant revision surgery and associated cement augmentation are scarce. Conclusion: As far as we are concerned, this is the first case in the literature of a re-revision surgery of an extracapsular hip fracture due to a three months postoperative cut-through and a posterior cement leakage into the hip joint after TFN-A cement augmentation and spiral lamina replacement with the need of a posterolateral approach for removal. Introduction The intra-articular migration of the spiral lamina or screw, after close reduction and internal fixation (CRIF) with an intra- medullary nail (cut-through), is one of the most frequent postoperative complications for the treatment of pertrochanteric fractures [1,2]. Multiple treatment options have been proposed, such as blade replacement [3], the cement augmentation technique [1], and total hip arthroplasty [4]. We present a patient with a cut-through and cement leakage into the hip joint after TFN-A cement augmentation and spiral lamina replacement. https://doi.org/10.1016/j.tcr.2019.100212 Accepted 16 June 2019 ⁎ Corresponding author. E-mail addresses: lionel.llano@hospitalitaliano.org.ar (L. Llano), fernando.diaz@hospitalitaliano.org.ar (F. Diaz-Dilernia), danilo.taype@hospitalitaliano.org.ar (D. Taype), carlos.sancineto@hospitalitaliano.org.ar (C. Sancineto), jorge.barla@hospitalitaliano.org.ar (J. Barla), guido.carabelli@hospitalitaliano.org.ar (G. Carabelli). Trauma Case Reports 22 (2019) 100212 Available online 20 June 2019 2352-6440/ © 2019 The Authors. Published by Elsevier Ltd. This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/BY-NC-ND/4.0/).