title: A blocking-wire technique for removal of a broken hollow intramedullary nail.
abstract: We present a simple method to remove the distal portion of the broken nail just using the bulb-tipped guide pin and a blocking Kirschner wire. At first, we removed the proximal part of the broken nail and all interlocking screws. Next, we introduced the bulb-tipped guide wire into the distal part of the nail with fluoroscopic guidance until it passed the interlocking hole that would be used. After snugly fitting the blocking Kirschner wire into the interlocking hole of the nail, the bulb-tipped guide wire is then pulled to engage the blocking wire complex in the interlocking hole. The bulb-tipped guide wire and broken nail are removed by sequential stroke using a ram.
authors.affiliation: Department of Orthopedics Surgery, Yonsei University, College of Medicine, Gangnam Severance Hospital, Seoul, Republic of Korea. Electronic address: hyenlim5399@daum.net.
authors.forename: Xuan-Lin
authors.initials: XL
authors.lastname: Zheng
authors.affiliation: Department of Orthopedics Surgery, Yonsei University, College of Medicine, Gangnam Severance Hospital, Seoul, Republic of Korea. Electronic address: yc4508@yuhs.ac.
authors.forename: Young-Chang
authors.initials: YC
authors.lastname: Park
authors.affiliation: Department of Orthopedics Surgery, Yonsei University, College of Medicine, Gangnam Severance Hospital, Seoul, Republic of Korea. Electronic address: kanggaedong@hanmail.net.
authors.forename: Dong-Hyun
authors.initials: DH
authors.lastname: Kang
authors.affiliation: Department of Orthopedics Surgery, Yonsei University, College of Medicine, Gangnam Severance Hospital, Seoul, Republic of Korea. Electronic address: soekso1012@naver.com.
authors.forename: Sang-Ok
authors.initials: SO
authors.lastname: Seok
authors.affiliation: Department of Orthopedics Surgery, Yonsei University, College of Medicine, Gangnam Severance Hospital, Seoul, Republic of Korea. Electronic address: 1stteam@yuhs.ac.
authors.forename: Yeo-Kwon
authors.initials: YK
authors.lastname: Yoon
authors.affiliation: Department of Orthopedics Surgery, Yonsei University, College of Medicine, Gangnam Severance Hospital, Seoul, Republic of Korea. Electronic address: kyang@yuhs.ac.
authors.forename: Kyu-Hyun
authors.initials: KH
authors.lastname: Yang
mesh_terms: D001858:Bone Nails; D001864:Bone Wires; D020878:Device Removal / Q000295:instrumentation* / Q000379:methods*; D004868:Equipment Failure; D005471:Fluoroscopy; D005594:Fracture Fixation, Intramedullary / Q000009:adverse effects*; D006801:Humans
keywords: Broken nail; Narrow hollow; Removal