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 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 Union in Fracture Tibia Managed with Closed Intramedullary Interlocking Nail, Our Hospital Results

2021 ◽  
pp. 286-291
Author(s):  
Lachman Das Maheshwari ◽  
Muhammad khan Pahore ◽  
Madan Lal ◽  
Syed Salman Adil ◽  
Bheesham Kumar ◽  
...  
Keyword(s):  
Low Cost ◽  
Full Range ◽  
Early Mobilization ◽  
Shaft Fracture ◽  
Delayed Union ◽  
Health Science ◽  
Outpatient Clinics ◽  
Tibial Shaft Fracture ◽  
Interlocking Nail ◽  
Fracture Tibia

Introduction: The purpose of this research was to present our hospital results in union of fracture Tibia managed with close intramedullary interlocking nail. Methods: This research was carried out at Liaquat University of Medical and Health Science Jamshoro Pakistan from June 2020 to June 2021. A total of 250 patients with a closed tibial shaft fracture were recruited from the emergency room and outpatient clinics for this study. Our study's clinical outcomes were categorized as union, nonunion, delayed union, or malunion based on the criteria. All of the patients were given anesthesia, either general or spinal. All of the patients were tracked for a period of nine months. Results: In 90–150 days, about 88 percent (220/250) of patients had union, with a mean of 110.68. Union occurred in 11.2 percent (28/250) of patients in 95–109 days, with a mean of 103.38. There were 7.2 percent (18/250) delayed unions and 4.8 percent (12/250) non unions treated with dynamization and bone transplant. The outcomes were outstanding in 88 percent (220/250) of the patients and good in 7.2 percent (18/250). Our patients all had full range of motion in their knees and ankles at the time of their examination. Conclusion: We found that this approach is beneficial due to early mobilization (early weightbearing), reduced complexity, good outcomes, and low cost.

DISTAL LOCKING SCREWS/Response

Orthopedics ◽  
1996 ◽  
Vol 19 (11) ◽  
pp. 926-927
Author(s):  
Ralph B Blasier ◽  
Nabil A Ebraheim
Keyword(s):  
Distal Locking ◽  
Locking Screws

Subtotal petrosectomy: Surgical technique, indications, outcomes, and comprehensive review of literature

2017 ◽  
Vol 127 (12) ◽  
pp. 2833-2842 ◽  
Author(s):  
Sampath Chandra Prasad ◽  
Valeria Roustan ◽  
Gianluca Piras ◽  
Antonio Caruso ◽  
Lorenzo Lauda ◽  
...  
Keyword(s):  
Surgical Technique ◽  
Review Of Literature ◽  
Comprehensive Review ◽  
Subtotal Petrosectomy

scholarly journals Effect of semi-rigid locking screws on the stiffness of a fracture-fixation construct: A conceptual finite-element study

2019 ◽  
Vol 11 (6) ◽  
pp. 168781401985457
Author(s):  
Xiao-Hua Pan ◽  
Wen-Chuan Chen ◽  
Kun-Jhih Lin ◽  
Kang-Ping Lin ◽  
Cheng-Lung Tsai ◽  
...  
Keyword(s):  
Compressive Load ◽  
Skin Incision ◽  
Delayed Union ◽  
Bone Plate ◽  
Long Bone ◽  
Structural Stiffness ◽  
Locking Screws ◽  
Plate Length ◽  
Working Length ◽  
Locking Screw

Strong stiffness provided by locking-plate system has resulted in nonunion and delayed union for long bone fracture. Longer bone plate can lengthen the working length to reduce the structural stiffness of the fixation device but will enlarge skin incision. Using the semi-rigid locking screw may be helpful but the efficacy was unclear. In simulated fracture model, four rigid locking screws were continually inserted beneath the fracture gap. The other four rigid/semi-rigid locking screws were equally distributed or concentrated at screw holes superior to the fracture gap. Axial compressive load was exerted to compare the biomechanical performance under various screw configurations and plate working length. Results revealed that using the semi-rigid locking screws, the structural stiffness of the fixation structure were lowered by 29.5%–45.1% comparing to the model with the same screw configuration using rigid locking screws. Semi-rigid screw models with shorter working length represented comparable flexibility of the fixation structure to the rigid locking screw model with longer working length. Compared to rigid locking screw, semi-rigid locking screw may provide similar flexibility with shorter bone plate, which may be beneficial to reduce the required plate length so that the skin incision may be minimized for fracture reduction.

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