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

Riansuwan, Kongkhet; Carter, Cordelia; Nercessian, Ohannes A.

doi:10.1097/ta.0b013e3181469e0f

Cited by 13 publications

(7 citation statements)

References 8 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Then the ball-tipped guide wire is pulled back to extract the nail [2, 3] (Figure 2). The end of the ball-tipped guide wire can be bent to increase its chance to pull the piece of the broken nail [4]. Karladani described a technique in which he used one guide wire that was trapped in the canal using a 3.5 mm screw inserted through the locking hole [5].…”

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

View full text Add to dashboard Cite

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.

show abstract

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

View full text Add to dashboard Cite

show abstract

“…Additional techniques for removing broken intramedullary nails include using hooks [1], a Hohmann retractor through a working channel in the lateral femoral cortex similar to a shoehorn (called the push-out technique) [11], or Ender nails [13], which must be placed beyond the distal tip of a broken nail and then hooked through the locking holes of the nail [16]. Other techniques use sigmoidoscopy forceps [12], distally impacted multiple guide wires [14,17], or custom-made devices [6]. All these techniques were described for removal of the distal fragment of a broken nail, and none could be used in our situation with a jammed intact intramedullary nail.…”

Section: Discussionmentioning

confidence: 99%

A New Technique for Removal of an Incarcerated Expandable Femoral Nail

Liodakis

Krettek

Kenawey

et al. 2010

Clinical Orthopaedics &Amp; Related Research

View full text Add to dashboard Cite

Removal of intramedullary nails often is relegated to younger surgeons but may be difficult and challenging. We describe difficulties with removal of an incarcerated expandable femoral nail and a new technique for retrograde mobilization of an intramedullary nail through a small infrapatellar incision. No special device was necessary for successful implant removal. Level of Evidence: Level V, therapeutic study. See Guidelines for Authors for a complete description of levels of evidence.

show abstract

“…In orthopedic traumatic surgery, implant failure is one of the most serious complications. To avoid of these complications, many surgical techniques have been reported [18] [19].…”

Section: Complicationsmentioning

confidence: 99%

“…Riansuwan et al have described an alternative procedure for extraction of broken gamma nail. With this method broken fragment inside the channel was extracted successfully and no complication occurred [19]. Steinberg et al was applied a method by which distal fragment of broken intramedullary nail inside channel can be extracted without requiring an additional approach to bone, without using any special equipment or device and without any damage to channel [40].…”

Section: Complicationsmentioning

confidence: 99%

Evaluation of Gamma Nails in Intertrochanteric Fractures of Femur and Modified Technique for Removal

Kömür¹,

Kaan²,

Yılmaz³

et al. 2015

OALib

View full text Add to dashboard Cite

Intertrochanteric fractures of femur (IFF) that comprise 8%-10% of all fractures are most commonly seen in people over 65 years old. Fractures of this region not only affect general state of health of patients, but also affect their lives mentally, socially and economically. Sufficient reduction and rigid internal fixation are still the best method for unstable IFF. Because of its biomechanical and anatomical design, proximal femoral nail (PFN) is a fixation material that has started to be increasingly used by orthopedic surgeons recently. In orthopedic traumatic surgery, implant failure is one of the most serious complications. To avoid these complications, many surgical techniques have been reported. Break of intramedullary nails especially in case of a nonunion requires to be extracted, which is a very difficult and challenging procedure for the surgeon. Many methods and materials have been described for this procedure. In this study we aim to review these topics.

show abstract

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

Abstract: We report a simple alternative procedure, modified ball-tipped guide wires technique, to remove a broken long gamma nail at the level of lag screw hole which is detected during a removal procedure. The fragment retained in the medullary canal was successfully removed without complication.

Cited by 13 publications

References 8 publications

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

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

A New Technique for Removal of an Incarcerated Expandable Femoral Nail

Evaluation of Gamma Nails in Intertrochanteric Fractures of Femur and Modified Technique for Removal

Contact Info

Product

Resources

About