title: Removal of the broken femoral nail with T-reamer technique: A three-case report.
abstract: Nonunion of femoral shaft fracture is an uncommon complication after closed intramedullary nailing which often leading to nail breakage. Removal of the broken femoral nail with closed manner is a challenging procedure for orthopedic surgeons. The removal technique with the T-reamer is a closed method, which does not require either a nonunion site opening or knee exposing. We reported 3 cases of nonunion femoral shaft with broken slotted and non-slotted hollow nail which were successfully removed without any complication. All fractures healed uneventfully without open the fracture site or bone grafting.
authors.affiliation: Department of Orthopaedics, Khon Kaen Hospital, Khon Kaen 40000, Thailand.
authors.forename: Wanjak
authors.initials: W
authors.lastname: Pongsamakthai
authors.affiliation: Department of Orthopaedics, Faculty of Medicine, Chiang Mai University, Chiang Mai 50200, Thailand.
authors.forename: Theerachai
authors.initials: T
authors.lastname: Apivatthakakul
authors.affiliation: Department of Orthopaedics, Khon Kaen Hospital, Khon Kaen 40000, Thailand.
authors.forename: Thananit
authors.initials: T
authors.lastname: Sangkomkamhang
keywords: Broken femoral nail; Nonunion femoral shaft fracture; Removal; T-reamer