Retrograde removal of an incarcerated solid titanium femoral nail after subtrochanteric fracture.
Intramedullary nailing with a solid titanium nail can result in significant bone ingrowth. Failure of an implant requires removal for replacement with another device. Previous methods have included use of extractors for cannulated nails. When extractors are not available or are inadequate, a simple retrograde push-out method can be used as described here.
Milia
Marc J
MJ
Department of Orthopaedic Surgery, Carolinas Medical Center, Charlotte, North Carolina 28232, USA. orthodoc67@hotmail.com
Vincent
Andrew B
AB
Bosse
Michael J
MJ
D000368:Aged; D001858:Bone Nails; D020878:Device Removal / Q000379:methods*; D005269:Femur / Q000000981:diagnostic imaging / Q000601:surgery*; D005594:Fracture Fixation, Intramedullary / Q000295:instrumentation*; D006620:Hip Fractures / Q000000981:diagnostic imaging / Q000601:surgery*; D006801:Humans; D008297:Male; D011475:Prosthesis Failure; D011859:Radiography; D014025:Titanium
D014025:Titanium