Cephalomedullary Nail Lag Screw Migration Following Open Reduction and Internal Fixation of an Intertrochanteric Femur Fracture in a Patient With Body Mass Index of 63.

Hip fractures are prevalent among the elderly population and are correlated with notable morbidity and mortality. Treatment with intramedullary nails has risen in popularity with good results, however complications can occur. We report on a 62-year-old female with a body mass index of 63 kg/m2 who presents with cephalomedullary nail lag screw migration following an open reduction and internal fixation of an intertrochanteric fracture, which was subsequently converted to a hip hemiarthroplasty after hardware failure of her cephalomedullary nail. Proper radiographic follow-up is essential for catching the complication early and preventing further injury. Hemiarthroplasty is an appropriate next step when facing this complication.