Removal of a broken distal cannulated intramedullary femoral nail with solid reamer with closed methods and without using C-arm: A case report

Yadav, Devendra Kumar; Garg, Vishal; Goyal, Archit; Aggarwal, N. D

doi:10.1016/j.jajs.2014.06.007

Cited by 2 publications

(3 citation statements)

References 15 publications

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“…This method involves using a solid threaded K-nail reamer (Figure 1) without opening the fracture site or using a C-arm. With an adequate reamer, one should try to gain purchase in the cannulated part of the broken nail piece through press fit, according to the authors series of "K-nail reamers that are smaller in size than the diameter of the nail are used" [4,23]. The proximal piece can be used to determine the appropriate reamer size [24].…”

Section: Techniques For Distal Broken Tibial Nail Extractionmentioning

confidence: 99%

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Extraction of Broken Interlocking Tibial Nails: A Review of Surgical Techniques and Practical Management

et al. 2023

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Breakage of tibial interlocking nails is a rare complication and is associated with tibial nonunion. The distal part of a broken tibial nail is difficult to extract and can be a real challenge. Preoperative planning is important, as the retrieval techniques of broken implants are not routine operations. There are various techniques and instruments described by different authors with none being uniformly successful. Therefore, surgeons should know as many methods as possible to choose the most suitable one. Minimally invasive retrieval techniques should be favored because of their reduced morbidity, while fenestration extraction methods should be used as the second intention. Cannulated intramedullary nails are more prone to benefitting from minimally invasive retrieval techniques than solid ones. This paper reviews and describes the present techniques used to extract the distal part of broken tibial nails, to serve as a quick guide for surgeons who need it.

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Section: Techniques For Distal Broken Tibial Nail Extractionmentioning

confidence: 99%

“…Fractures of the tibial shaft are the most frequently occurring type of long bone fractures [1]. Intramedullary (IM) nailing has become the preferred method of treatment for most long bone fractures [2] because of biological and biomechanical advantages [3,4].…”

Section: Introductionmentioning

confidence: 99%

Extraction of Broken Interlocking Tibial Nails: A Review of Surgical Techniques and Practical Management

et al. 2023

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“…Intramedullary nailing is an effective and reliable stabilization system and has been the preferred treatment for a wide range of long bone fractures. Some of its advantageous features when compared with other stabilization methods include small operative scars, low infection rate, 1 early patient ambulation, decrease blood loss, minimal disturbance to the fracture site and surrounding soft tissues 2,3 and an overall high rate of successful results. 1 The current intramedullary nails’ remarkable designs, materials selection, functional simplicity and effectiveness were achieved after a long and conflicting theoretical path characterized by an increased understanding of the biomechanical laws and their relations to the sequential bone healing complex overlapping events (see Figure 1).…”

Section: Introductionmentioning

confidence: 99%

Intramedullary nailing biomechanics: Evolution and challenges

Rosa

Marta

Vaz

et al. 2019

Proc Inst Mech Eng H

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This article aims to review the biomechanical evolution of intramedullary nailing and describe the breakthrough concepts which allowed for nail improvement and its current success. The understanding of this field establishes an adequate background for forthcoming research and allows to infer on the path for future developments on intramedullary nailing. It was not until the 1940s, with the revolutionary Küntscher intramedullary nailing design, that this method was recognized as a widespread medical procedure. Such achievement was established based on the foundations created from intuitionbased experiments and the first biomechanical ideologies. The nail evolved from allowing alignment and stability through press-fit fixation with nail-cortical wall friction to the nowadays nail stability achieved through interlocking screws mechanical linkage between nail and bone. Important landmarks during nail evolution comprise the introduction of flexible reaming, the progress from slotted to non-slotted nails design, the introduction of nail 'dynamization' and the use of titanium alloys as a new nail material. Current biomechanical improvement efforts aim to enhance the boneintramedullary nail system stability. We suggested that benefit would be attained from a better understanding of the ideal mechano-biological environment at the fracture site, and future improvements will emerge from combining mechanics and biological tools.

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Removal of a broken distal cannulated intramedullary femoral nail with solid reamer with closed methods and without using C-arm: A case report

Cited by 2 publications

References 15 publications

Extraction of Broken Interlocking Tibial Nails: A Review of Surgical Techniques and Practical Management

Extraction of Broken Interlocking Tibial Nails: A Review of Surgical Techniques and Practical Management

Intramedullary nailing biomechanics: Evolution and challenges

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