Removal of Broken Kuntscher???s Nail: An Innovative Close Technique

Percutaneous Removal of Buried Antegrade Femoral Nails

“…This occurred in an open section Küntscher nail after a threaded extraction device failed to engage the top of the nail. However, if some of the many previously described techniques for removal of broken hollow nails had been employed, [13][14][15][16] it is likely that this implant could have been removed percutaneously as well.…”

Removal of Broken Long Gamma Nail: A Modified Guide Wires Technique

“…Steinberg et al 6 reported a modification of Sivananthan et al's technique in which a Kuntscher nail, 8 to 10 mm in diameter, was wedged into the retained intramedullary fragment; the broken implant and the Kuntscher nail are removed together by the application of gentle rotatory movements to this construct. In a similar fashion, Maini et al 7 successfully removed a fragment of a broken Kuntscher nail by using an Enders nail as an extractor instrument. Finally, Middleton et al 8 and Park et al 9 reported on the use of multiple olive-tipped guide wires and a modified smooth guide wire, respectively, for extraction of a small, very distal implant fragment.…”

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

“…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.…”