title: Intramedullary cortical fragments: Recognition and techniques to permit safe nailing.
abstract: The presence of a cortical fragment blocking the intramedullary canal is a challenging problem in the management of comminuted long bone fractures. Recognizing this problem and removing the cortical fragment are crucial to prevent complications from occurring. We present a simple technique to remove intramedullary fragments from within the canal to allow for safe nailing.
authors: Kirksville College of Osteopathic Medicine, Kirksville, MO, USA.
authors: William
authors: W
authors: Rainer
authors: Department of Orthopaedic Surgery, University of Michigan, Ann Arbor, MI, USA.
authors: Mark E
authors: ME
authors: Hake
authors: Department of Orthopaedic Surgery, Denver Health Medical Center, Denver, CO, USA.
authors: Cyril
authors: C
authors: Mauffrey
authors: Department of Orthopaedic Surgery, Denver Health Medical Center, Denver, CO, USA. Electronic address: david.hak@dhha.org.
authors: David J
authors: DJ
authors: Hak
mesh_terms: D000328:Adult; D001858:Bone Nails; D005594:Fracture Fixation, Intramedullary / Q000295:instrumentation / Q000379:methods*; D018460:Fractures, Comminuted / Q000150:complications* / Q000601:surgery; D006801:Humans; D008297:Male; D008875:Middle Aged; D017410:Practice Guidelines as Topic; D013523:Surgical Equipment / Q000706:statistics & numerical data*; D013978:Tibial Fractures / Q000150:complications* / Q000601:surgery; D016896:Treatment Outcome