Removal of a bent intramedullary nail with a posttraumatic sagittal plane deformity.
High-energy injuries may result in a femur fracture with resultant bending of a previously placed intramedullary femoral nail. A bend of the nail in the sagittal plane presents unique challenges for nail extraction and subsequent exchange nailing. The described surgical technique illustrates a simple method to straighten the sagittal plane bend in situ and performs exchange nailing although maintaining symmetric femoral length and rotation.
Banerjee
Rahul
R
Texas Tech University Health Sciences Center, El Paso, Texas, USA. rahulbanerjee7@hotmail.com
Posner
Matthew
M
D000063:Accidents, Traffic; D000328:Adult; D001858:Bone Nails / Q000009:adverse effects*; D020878:Device Removal / Q000379:methods*; D005264:Femoral Fractures / Q000000981:diagnostic imaging / Q000601:surgery*; D005269:Femur / Q000601:surgery*; D005500:Follow-Up Studies; D005547:Foreign Bodies / Q000209:etiology* / Q000601:surgery*; D005593:Fracture Fixation, Internal / Q000295:instrumentation / Q000379:methods; D005594:Fracture Fixation, Intramedullary / Q000295:instrumentation / Q000379:methods; D017102:Fracture Healing / Q000502:physiology; D005597:Fractures, Open / Q000000981:diagnostic imaging / Q000601:surgery; D006801:Humans; D015601:Injury Severity Score; D008297:Male; D009049:Motorcycles; D011859:Radiography; D012086:Reoperation; D018570:Risk Assessment; D013978:Tibial Fractures / Q000000981:diagnostic imaging / Q000601:surgery; D013997:Time Factors; D016896:Treatment Outcome