Extraction of broken intramedullary nail in ununited fractures of femur by doubling up the tip of guide wire: An innovative technique
Journal Title: Panacea Journal of Medical Sciences - Year 2016, Vol 6, Issue 2
Abstract
Femoral shaft fractures are treated by close intramedullary interlocking nailing, that allows early ambulation and preservation of fracture haeamatoma. But a good number of patients present with disturbed union and broken nail. Extraction of the broken nail, especially of its distal segment, is quite challenging without opening and disturbing the fracture site. We describe an innovative technique of broken nail extraction with the help of a doubled up tip guide wire and a cannulated extractor. 12 patients with broken nails were subjected to our technique by first passing a guide wire through the broken nail up to the subchondral bone and then advancing through intercondylar notch into the flexed knee and then exiting the wire out of knee by a small incision. Tip of the exited wire is then doubled up over itself like a loop, so that it may behave like a ball tipped wire. A cannulated extractor is threaded over the proximal part of the wire and screwed into the proximal end of the broken nail, which is then extracted. All broken nails were extracted easily. No patient developed heamarthrosis or compromise in knee function. No sign of early or delayed knee infection was seen. The mean follow up period was 15.4(range18-24) months. We found this innovative technique simple, safe, inexpensive, requiring no sophisticated instrumentation and steep learning curve.
Authors and Affiliations
Arun Vashisht, OP Gupta, Avinash Rastogi
Keywords
Related Articles
- EP ID EP241578
- DOI -
- Views 102
- Downloads 0
Comparative study of different methods of olecranon fracture fixation
Olecranon process is the proximal expansion of ulna bone which takes part in formation of elbow joint and is essential for elbow joint movements. Therefore, fractures of olecranon are to be treated by stable fixation and...
Ascites due to ovarian hyperstimulation syndrome in a oocyte donor: A case report
In vitro fertilization (IVF) using donated oocytes has proven to be an highly effective treatment option for many prospective parents struggling with infertility, and the usage of donated oocytes in assisted reproduction...
Evaluation of various physiological parameters affecting the outcomes in patients underwent dialysis procedure
The kidney plays a vital role in homeostatic function by regulating the salts/water balance in the body. Renal function is compromised due to various factors internal and external conditions such as diabetic nephropathy...
Comparison between 70 degree endoscopy, direct laryngoscopy and CT scan in T staging of Laryngeal cancer
The purpose of the study was to study and compare the importance of 70 degree endoscopy, direct laryngoscopy and CT scan in showing the extent of laryngeal tumours which would then decide the course of treatment for the...
Secondary abdominal pregnancy following rupture of rudimentary horn: A case report
Ruptured rudimentary horn is a life threatening obstetrical emergency where the diagnosis is either missed or delayed. We report a case of 21 years old Gravida 2 Para 1 Live 1 with previous vaginal deliverywho presented...