Inadvertent advancement of guide wire across the knee caused by incarcerated bone fragment at the nail tip during femoral nailing.
- Author:
Dhananjaya SABAT
1
;
Tsering WANGCHUK
;
Anil DHAL
Author Information
1. Department of Orthopedic Surgery, Maulana Azad Medical College and associated Lok Nayak Hospital, New Delhi, India.
- Publication Type:Case Reports
- MeSH:
Adult;
Bone Nails;
Femoral Fractures;
surgery;
Fracture Fixation, Intramedullary;
instrumentation;
methods;
Humans;
Male
- From:
Chinese Journal of Traumatology
2014;17(2):118-120
- CountryChina
- Language:English
-
Abstract:
Fracture of femoral shaft in adults is common and mostly managed with intramedullary interlocking nails. Complications during closed intramedullary femoral nailing are uncommon, and mostly of them are caused by technical reasons. We describe a case of closed nailing for a femoral shaft fracture in which a jammed intramedullary guide wire, due to an incarcerated bone fragment at the nail tip, was inadvertently advanced across the knee. Forceful attempt of nail insertion caused this complication, which was probably attributed to nail design.
