Kuntscher nail removal: Revision of a failed hip resurfacing above an incarcerated Kuntscher nail. A case report of a smart nail extraction technique through a custom-made instrumentation

Randelli, Filippo; Banci, Lorenzo; Visentin, Ornella; Di Via, Danilo; Fioruzzi, Alberto

doi:10.1016/j.tcr.2024.101030

Cited by 1 publication

(1 citation statement)

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“…A greater bone contact with titanium increases implant stability making titanium nail removal more difficult than stainless steel nails in diaphyseal fractures of the tibia [ 3 ]. Implant removal done after a long gap may cause more difficulties in the surgery due to bone overgrowth, ingrowth and jamming of the implant as described by many authors [ 9 ]. A novel technique by drilling around the proximal end of the femoral nail without using fluoroscopy has been described by Misailidis et al [ 10 ].…”

Section: Discussionmentioning

confidence: 99%

An Unusual Complication Encountered During the Extraction of the Femoral Nail: A Case Report

Dhaniwala,

Saoji,

Dhaniwala

et al. 2024

Cureus

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Orthopedic implant removal is a common surgery performed either due to patient’s complaint of pain, dysfunction or infection or on doctor’s advice depending on the nature of the implant and its related future problems. The surgery may range from simple k-wire removal to difficult plate or intramedullary nail removal. Many unforeseen complications are experienced during implant removal, and occasionally, it results in failure of removal, fracture, prolonged per-operative bleeding and damage to nerves and vessels. We report here an unusual complication of coiling of a thick k-wire used during implant extraction surgery to prevent sinking of the nail and the difficulties in removing this coil and the nail, along with the precautions to be taken to avoid such difficulties.

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Section: Discussionmentioning

confidence: 99%