title: A Modified Levering Technique for Removing a Broken Solid Intramedullary Tibial Nail: A Technical Tip.
abstract: Intramedullary tibial fixation is a commonly used and highly successfully treatment in acute fractures, nonunion settings, and correctional procedures. In the setting of a nonunion, removal of a failed implant can add to operative time and surgeon frustration while further compromising bone in an area already at risk for failure. Here we present a technique, using readily accessible equipment, for removing a distal solid tibial nail fragment in a manner that preserves bone.
authors.forename: W Michael
authors.initials: WM
authors.lastname: Pullen
authors.forename: Nicholas J
authors.initials: NJ
authors.lastname: Erdle
authors.forename: Colin
authors.initials: C
authors.lastname: Crickard
authors.affiliation: Division of Trauma Surgery, Department of Orthopaedic Surgery, Naval Medical Center Portsmouth, Portsmouth, VA.chriss199@yahoo.com.
authors.forename: Christopher S
authors.initials: CS
authors.lastname: Smith
mesh_terms: D001858:Bone Nails; D020878:Device Removal / Q000379:methods*; D005594:Fracture Fixation, Intramedullary; D006801:Humans; D008297:Male; D013977:Tibia / Q000601:surgery; D013978:Tibial Fractures / Q000601:surgery; D055815:Young Adult