title: A Technical Note for Extracting an Incarcerated Femoral Kuntscher Nail.
abstract: BACKGROUND
  The use of the Kuntscher nail has been the most important advancement in trauma surgery. One of the problems is the difficulty to remove it. A new extraction technique is described in the present case report.
  
  
  METHODS
  A 46-year-old man was referred for hip osteoarthritis. He had an acetabulum fracture and a femoral shaft fracture treated 30 years ago with a reamed Kuntscher femoral nail. Lateral hip approach was performed and after attempting to remove the nail with the specific tools being unsuccessful we decided to be more aggressive. Firstly, we performed a simple unicortical osteotomy on the lateral side from the proximal part to below the callus in order to decompress the femoral canal without success. Secondly, a trench in the greater trochanter around the proximal hole was performed to hit the nail from below which was still insufficient and furthermore, the hole broke when hitting the nail so we needed to drill a new hole distally. Finally, the Kuntscher nail was removed. Several cerclages closed the osteotomy and a bone graft was used to close the trench. The patient had a good evolution at one year of follow-up.
  
  
  CONCLUSIONS
  With this case report, we present a new salvage technique to remove an incarcerated Kuntscher nail when all the described methods have failed.
authors.affiliation: Department of Orthopaedic Surgery, Parc de Salut Mar, Hospital de l'Esperança, Sant Josep de la Muntanya 12. 08024 Barcelona, Spain.
authors.forename: Marí
authors.initials: M
authors.lastname: R
authors.affiliation: Department of Orthopaedic Surgery, Parc de Salut Mar, Hospital de l'Esperança, Sant Josep de la Muntanya 12. 08024 Barcelona, Spain.
authors.forename: Valverde Vilamala
authors.initials: VV
authors.lastname: D
authors.affiliation: Department of Orthopaedic Surgery, Parc de Salut Mar, Hospital de l'Esperança, Sant Josep de la Muntanya 12. 08024 Barcelona, Spain.
authors.forename: León García
authors.initials: LG
authors.lastname: A
authors.affiliation: Department of Orthopaedic Surgery, Parc de Salut Mar, Hospital de l'Esperança, Sant Josep de la Muntanya 12. 08024 Barcelona, Spain.
authors.forename: Guirro
authors.initials: G
authors.lastname: P
authors.affiliation: Department of Orthopaedic Surgery, Parc de Salut Mar, Hospital de l'Esperança, Sant Josep de la Muntanya 12. 08024 Barcelona, Spain.
authors.forename: Marqués López
authors.initials: ML
authors.lastname: F
keywords: Femoral nail; Incarcerated nail; Nail removal