scholarly journals An Indigenous Removal Method of a Broken Interlocking Nail

2017 ◽  
Vol 2 (1) ◽  
pp. 38-40
Author(s):  
AK Mathur ◽  
Mohit Kumar ◽  
Aniket Kedawat ◽  
Anshu Sharma ◽  
Anand Gupta
Keyword(s):  
Extraction Method ◽  
Femoral Fractures ◽  
Management Options ◽  
Complex Situation ◽  
Interlocking Nail ◽  
Removal Method ◽  
Novel Technique ◽  
Distal Locking ◽  
Locking Nail ◽  
Exchange Nailing

ABSTRACT Breakage of locking nail is an important cause of interlocking nail failure in femoral fractures. Usually, it takes place at one of the ends of the nail. Here we report an unusual extraction method of intramedullary femoral nail failure with breakage of nail proximal to distal locking holes. Such a scenario usually complicates further management. This case was managed with exchange nailing and bone grafting after removal of implant using a novel technique and using commonly available orthopedic instruments in the operation theater. Here, we briefly review the literature regarding such an unusual presentation and discuss in detail the possible etiology of such a presentation and the management options when facing such a complex situation. How to cite this article Kedawat A, Mathur AK, Kumar M, Sharma A, Gupta A. An Indigenous Removal Method of a Broken Interlocking Nail. J Mahatma Gandhi Univ Med Sci Tech 2017;2(1):38-40.

scholarly journals A Three-part Broken Interlocking Femoral Nail: Novel Technique of Removal and Review of Literature

2021 ◽  
pp. 39-43
Author(s):  
A. Raviraj ◽  
K. Abhishek Sugumar ◽  
Vidyasagar Maalepati ◽  
H. A. Shivareddy ◽  
Ashish Anand
Keyword(s):  
Surgical Technique ◽  
Delayed Union ◽  
Review Of Literature ◽  
Interlocking Nail ◽  
Novel Technique ◽  
Distal Locking ◽  
Locking Screws ◽  
Femoral Nail ◽  
Specialized Equipment ◽  
Exchange Nailing

A segmentally broken (three part) interlocking femoral nail with broken interlocking screw can be challenging to remove. We describe a novel technique for extraction of an unusual two level broken cannulated anterograde femoral nail to treat the delayed union with exchange nailing.  This is the first reported case of a three-part broken intramedullary interlocking nail with broken distal locking screws, where the broken hardware was removed without opening the facture site or the knee. This technique is simple and does not require specialized equipment. The surgical technique and review of literature is presented.

scholarly journals Correction to: The clinical features, management options and complications of paediatric femoral fractures

2021 ◽  
Author(s):  
Sean Duffy ◽  
Yael Gelfer ◽  
Alex Trompeter ◽  
Anna Clarke ◽  
Fergal Monsell
Keyword(s):  
Clinical Features ◽  
Femoral Fractures ◽  
Management Options

A correction to this paper has been published: https://doi.org/10.1007/s00590-021-02998-y

scholarly journals Systematic review of dynamization vs exchange nailing for delayed/non-union femoral fractures

2018 ◽  
Vol 9 (7) ◽  
pp. 92-99 ◽  
Author(s):  
Jacob E Vaughn ◽  
Ronit V Shah ◽  
Tarek Samman ◽  
Jacob Stirton ◽  
Jiayong Liu ◽  
...  
Keyword(s):  
Systematic Review ◽  
Femoral Fractures ◽  
Non Union ◽  
Exchange Nailing

A Simplified Technique of Distal Locking Screw Fixation of Interlocking Nail

1995 ◽  
Vol 8 (1) ◽  
pp. 248
Author(s):  
Young-Bok Jung ◽  
Ki-Ser Kang ◽  
Boo-Sup Kim ◽  
Han-Jun Lee ◽  
Whui-Jae Jin
Keyword(s):  
Screw Fixation ◽  
Interlocking Nail ◽  
Distal Locking ◽  
Locking Screw

F1.6 Treatment of tibia distal diaphyso-metaphyseal fractures with new design MBDLS (Monobloc Distal Locking Screw) interlocking nail

Injury ◽  
2013 ◽  
Vol 44 ◽  
pp. S8
Author(s):  
N. Saglam ◽  
T. Kurtulmus ◽  
G. Saka ◽  
F. Kücükdurmaz ◽  
F. Akpinar
Keyword(s):  
Interlocking Nail ◽  
Distal Locking ◽  
Locking Screw ◽  
Metaphyseal Fractures

Use of an interlocking nail-hybrid fixator construct for distal femoral deformity correction in three dogs

2011 ◽  
Vol 24 (03) ◽  
pp. 236-245 ◽  
Author(s):  
K. M. Wendelburg ◽  
C. W. Sereda ◽  
D. J. Reese ◽  
J. L. Wheeler ◽  
D. D. Lewis
Keyword(s):  
Three Dimensional ◽  
Deformity Correction ◽  
Functional Results ◽  
Three Dimensional Model ◽  
Interlocking Nail ◽  
Hybrid External Fixator ◽  
Femoral Deformity ◽  
Locking Nail ◽  
Centre Of Rotation ◽  
Hybrid Fixator

SummaryOur purpose was to report the use of an inter-locking nail-hybrid external fixator construct to correct distal femoral deformities in three dogs. Radiographs, computed tomography and a three-dimensional model were used to plan the surgical procedure. A femoral osteotomy or ostectomy was performed at the level of the centre of rotation of angulation in all three dogs. Angular and rotational deformities were corrected acutely. Distraction osteo-genesis was performed to lengthen each femur postoperatively. All three dogs had additional anatomic abnormalities of the affected hindlimb complicating the correction of the distal femoral deformity. While the interlocking nail-hybrid fixator construct allowed for stable distraction of the femur, all three dogs developed complications during the postoperative convalescent period, and each had some degree of residual lameness. Lengthening the femur following acute deformity correction is problematic and additional experimental and clinical studies are warranted to decrease postoperative morbidity and improve functional results.

scholarly journals Peri-implant fracture: a rare complication after intramedullary fixation of trochanteric femoral fracture

2021 ◽  
Author(s):  
Lauri M. Halonen ◽  
Antti Stenroos ◽  
Henri Vasara ◽  
Jussi Kosola
Keyword(s):  
Rare Complication ◽  
Treatment Strategies ◽  
Femoral Fractures ◽  
Delayed Union ◽  
Intramedullary Fixation ◽  
Fixation Method ◽  
Trochanteric Fractures ◽  
Non Union ◽  
Trochanteric Femoral Fracture ◽  
Exchange Nailing

Abstract Introduction Trochanteric femoral fractures are among the most common operatively treated fractures. Intramedullary fixation has become the treatment of choice in many centers around the world. Nevertheless, the knowledge of rare complications of these fractures is limited. In this study, the incidence and treatment strategies for peri-implant fractures (PIF) were assessed. Materials and methods A single-center retrospective cohort study was done on 987 consecutive operatively treated trochanteric fractures. PFNA cephalomedullary nail was used as a fixation method. All patients were followed up from patient records for peri-implant fractures. Plain radiographs as well as different salvage methods were analyzed and compared. Results The total rate of peri-implant fractures was 1.4% (n = 14). The rate of PIF for patients treated with short (200 mm) nails, intermediate-length (240 mm) nails, and long nails was 2.7% (n = 2), 1.5% (n = 11), and 0.7% (n = 1), respectively (ns, p > 0.05 for difference). Treatment of choice for PIF was either ORIF with locking plate (57%, n = 8) or exchange nailing (43%, n = 6). None of the PIF patients needed additional surgeries for non-union, malunion, or delayed union. Conclusions A PIF is a rare complication of intramedullary fixation of trochanteric fractures. It can be treated with either locking plates or exchange nailing with sufficient results. There are no grounds for favoring long nails to avoid PIFs.

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