[A Problematic Case: Removal of a Broken Cannulated Tibial Nail].
We present a case illustrating a simple and safe technique for the removal of a broken cannulated tibial nail after a pseudarthrosis of a lower leg shaft fracture. A 3 mm Ball-Tip guide wire was inserted into the proximal and the distal segment of the nail. A 2.5 mm tip-flattened second wire was forwarded into the distal segment pushing the Ball-Tip guide wire out of the axis and blocking it. This way the Ball-Tip could act as a hook and consecutively could be knocked back with an impactor forceps removing the complete nail. An exchange nailing was performed with a reamed AO standard nail and the further course was uneventful with a healed fracture after 12 months.
Klinik für Orthopädie, Unfall- und Handchirurgie, Hegau-Bodensee-Klinikum Singen, Gesundheitsverbund Landkreis Konstanz gGmbH.
R
R
Langenhan
Klinik für Orthopädie, Unfall- und Handchirurgie, Hegau-Bodensee-Klinikum Singen, Gesundheitsverbund Landkreis Konstanz gGmbH.
N
N
Reimers
Klinik für Orthopädie, Unfall- und Handchirurgie, Hegau-Bodensee-Klinikum Singen, Gesundheitsverbund Landkreis Konstanz gGmbH.
W
W
Henke
Klinik für Orthopädie, Unfall- und Handchirurgie, Hegau-Bodensee-Klinikum Singen, Gesundheitsverbund Landkreis Konstanz gGmbH.
A
A
Probst
D000328:Adult; D001858:Bone Nails / Q000009:adverse effects*; D020878:Device Removal / Q000379:methods*; D005260:Female; D005547:Foreign Bodies / Q000209:etiology* / Q000601:surgery*; D006801:Humans; D011475:Prosthesis Failure; D011542:Pseudarthrosis / Q000601:surgery; D012086:Reoperation; D013978:Tibial Fractures / Q000601:surgery*; D016896:Treatment Outcome