title: Minimally invasive exchange tibial nailing for a broken solid nail: case report and description of a new technique.
abstract: We present a minimally invasive technique for the removal of a broken solid tibial nail. A special device was invented that minimizes the extraction difficulties. After minimal over-reaming, the device is slid in an antegrade fashion over the nail and locked. Retraction is safe and easy. This article is an illustrative case-presentation describing the device and the surgical technique.
authors.affiliation: Trauma Department, Hannover Medical School, Hannover, Germany. goesling.thomas@mh-hannover.de
authors.forename: Thomas
authors.initials: T
authors.lastname: Gosling
authors.forename: Mohamad
authors.initials: M
authors.lastname: Allami
authors.forename: Bernd
authors.initials: B
authors.lastname: Koenemann
authors.forename: Stefan
authors.initials: S
authors.lastname: Hankemeier
authors.forename: Christian
authors.initials: C
authors.lastname: Krettek
mesh_terms: D000328:Adult; D001858:Bone Nails; D020878:Device Removal / Q000379:methods*; D005594:Fracture Fixation, Intramedullary / Q000295:instrumentation / Q000379:methods*; D005597:Fractures, Open / Q000000981:diagnostic imaging / Q000601:surgery*; D006801:Humans; D008297:Male; D019060:Minimally Invasive Surgical Procedures / Q000379:methods*; D011475:Prosthesis Failure; D011859:Radiography; D012086:Reoperation / Q000379:methods; D013978:Tibial Fractures / Q000000981:diagnostic imaging / Q000601:surgery*