- Author:
Sa’aid SH
1
;
Bajuri MY
1
;
Dzeidee-Schaff FN
1
;
Abdul-Suki MH
1
Author Information
- Publication Type:Journal Article
- Keywords: bent intramedullary nail, nail extraction, femoral shaft fracture
- From:Malaysian Orthopaedic Journal 2021;15(No.2):163-165
- CountryMalaysia
- Language:English
- Abstract: A bent intramedullary (IM) nail becomes challenging and technically demanding to the orthopaedic surgeon for nail extraction. A broken nail can be easily removed through the fracture site. However, a bent nail has to be broken before it can be removed. Several studies and case reports outline the strategies and techniques for removing a bent IM nail. However, there is a paucity of guidelines and standard protocol describing the best and inexpensive strategy. We report a case where two years following surgery for intramedullary nailing of the right femur, the IM mail was bent following secondary trauma. We used a technique based on the principles of an ability to fully cut the nail and extract it in two pieces by using a Jumbo cutter which is available in the orthopaedic armamentarium. This technique is simple yet economical, with the likelihood of causing less soft tissue damage and thermal necrosis.
- Full text:16.2021my1190.pdf