Removal of a Multisegmental Broken Nail by Close Technique Using a TEN Nail

Maini, Lalit; Jain, Nishant; Singh, Jagsir; Singh, Harpreet; Bahl, Ajay; Gautam, VK

doi:10.1097/01.ta.0000236051.08735.eb

Cited by 8 publications

(3 citation statements)

References 12 publications

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“…Retrograde techniques, such as those described by Maini and Jain 9 and Magu et al 10 were not applicable to our case as the distal tip of the broken nail was blocked by a pedestal of sclerotic bone. Although our retrograde push-out technique involves more soft tissue dissection through a parapatellar arthrotomy, it is a safe and direct approach to tackle this difficult problem.…”

Section: Discussionmentioning

confidence: 80%

Removal of a Broken Intramedullary Femoral Nail by Transarticular Retrograde Technique—A Case Report and Review of Literature

Wong¹,

Sik-Chung²

2011

Journal of Orthopaedics, Trauma and Rehabilitation

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a b s t r a c tWe report a 20-year-old Chinese female who presented with severe limping because of nonunion of her right proximal femoral fracture. The radiographs showed an intramedullary femoral nail fractured through one of its proximal locking holes. We successfully treated her by exchanging the intramedullary nail and grafting with autogenous bone. A transarticular retrograde technique was employed for the removal of the broken nail since it could not be removed by standard conventional techniques.

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Section: Discussionmentioning

confidence: 80%

Removal of a Broken Intramedullary Femoral Nail by Transarticular Retrograde Technique—A Case Report and Review of Literature

Wong¹,

Sik-Chung²

2011

Journal of Orthopaedics, Trauma and Rehabilitation

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“…Rather than pushing the nail into the knee, a guide wire can be introduced from the knee; the wire will engage into the nail and then the wire is pulled from the greater trochanter side [17]. Maini et al used flexible nail instead of the guide wire with the flat side of the flexible nail acting as the “capturing” part that pulled the broken piece of the nail [18]. Magu used a washer over the guide wire to better capture the nail [19].…”

Section: Discussionmentioning

confidence: 99%

Removal of a Broken Cannulated Intramedullary Nail: Review of the Literature and a Case Report of a New Technique

Abdelgawad

Kanlić

2013

Case Reports in Orthopedics

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Nonunion of long bones fixed with nails may result in implant failure. Removal of a broken intramedullary nail may be a real challenge. Many methods have been described to allow for removal of the broken piece of the nail. In this paper, we are reviewing the different techniques to extract a broken nail, classifying them into different subsets, and describing a new technique that we used to remove a broken tibial nail with narrow canal. Eight different categories of implant removal methods were described, with different methods within each category. This classification is very comprehensive and was never described before. We described a new technique (hook captured in the medulla by flexible nail introduced from the locking hole) which is a valuable technique in cases of nail of a small diameter where other methods cannot be used because of the narrow canal of the nail. Our eight categories for broken nail removal methods simplify the concepts of nail removal and allow the surgeon to better plan for the removal procedure.

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“…Retrograde techniques, such as those described by Maini and Jain and Magu et al were not applicable to our case as the distal tip of the broken nail was blocked by a pedestal of sclerotic bone. [7,8,9] Although our retrograde push-out technique involves more soft tissue dissection through a parapatellar arthrotomy, it is a safe and direct approach to tackle this difficult problem. We made use of this technique to successfully remove the broken nail with extremely lower morbidities and complications just like retrograde intramedullary nailing of femur.…”

Section: Discussionmentioning

confidence: 99%

Removal of irretrievable segmentally broken femur nail by an innovative technique - Case Report

Dubey¹,

Parmar²,

Sadigale³

2013

Int J Med Sci Public Health

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Extraction of broken implant is a challenging task for orthopaedic surgeons. Many times it requires innovative ideas or some unusual methods, all of which has not been listed in literature. We hereby report such a case of 40-year-old male who presented with severe limping and history of previously treated right femur fracture. The radiographs showed an intramedullary nail which was segmentally broken. Femur nail was broken at the non-united fracture and below the fracture at the level of distal interlocking screw. We successfully removed a broken implant by using such one innovative-close retrograde method. The segments of broken nail were removed through knee arthrotomy without opening the fracture site. Non-union was treated by exchange nailing without bone grafting and patient recovered well on follow up. To our best of knowledge very few cases of extraction of segmentally fractured nail have been reported in literature until now.

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Removal of a Multisegmental Broken Nail by Close Technique Using a TEN Nail

Cited by 8 publications

References 12 publications

Removal of a Broken Intramedullary Femoral Nail by Transarticular Retrograde Technique—A Case Report and Review of Literature

Removal of a Broken Intramedullary Femoral Nail by Transarticular Retrograde Technique—A Case Report and Review of Literature

Removal of a Broken Cannulated Intramedullary Nail: Review of the Literature and a Case Report of a New Technique

Removal of irretrievable segmentally broken femur nail by an innovative technique - Case Report

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