title: Closing the medullary canal after retrograde nail removal using a bioabsorbable bone plug: technical tip.
abstract: We describe a simple technique for closure of the intra-articular opening after the removal of a retrograde femur nail. With the use of a gelatine bioabsorbable bone plug the medullary canal is closed, reducing leakage of blood and cancellous bone particles from the bone into the knee joint.
authors.affiliation: Department of Surgery-Traumatology, Erasmus MC, University Medical Center Rotterdam, Room H822-k, PO Box 2040, 3000 CA Rotterdam, The Netherlands. t.schepers@erasmusmc.nl
authors.forename: T
authors.initials: T
authors.lastname: Schepers
authors.forename: L M M
authors.initials: LM
authors.lastname: Vogels
mesh_terms: D020341:Absorbable Implants; D000287:Administration, Topical; D016063:Blood Loss, Surgical / Q000517:prevention & control*; D001858:Bone Nails; D002483:Cellulose, Oxidized / Q000008:administration & dosage / Q000627:therapeutic use; D003094:Collagen / Q000008:administration & dosage / Q000627:therapeutic use; D020878:Device Removal; D004338:Drug Combinations; D005264:Femoral Fractures / Q000601:surgery*; D005594:Fracture Fixation, Intramedullary / Q000295:instrumentation*; D005780:Gelatin / Q000008:administration & dosage / Q000627:therapeutic use; D006488:Hemostasis, Surgical / Q000295:instrumentation*; D006490:Hemostatics / Q000008:administration & dosage / Q000627:therapeutic use*; D006801:Humans; D014885:Waxes / Q000627:therapeutic use; D014945:Wound Healing / Q000187:drug effects*
chemical_list: D002483:Cellulose, Oxidized; D004338:Drug Combinations; D006490:Hemostatics; D014885:Waxes; D005780:Gelatin; D003094:Collagen