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.
Texas Tech University Health Sciences Center, El Paso, Texas, USA. rahulbanerjee7@hotmail.com
Rahul
R
Banerjee
Matthew
M
Posner
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