The ball-less technique: A novel technique for the removal of a broken proximal femoral nail anti-rotation. A technical note

We describe a novel technique for removing broken intra-medullary femoral nails This technique involves the initial removal of the blade, screw at proximal femur, and proximal part of the broken nail. A hole is then drilled in the remnant nail and a cerclage wire passed into the hole. The distal int...

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Bibliographic Details
Published in:Injury 2020-06, Vol.51 (6), p.1397-1402
Main Authors: Marise, Tan Peilin Cheryl, Yilun, Huang, Andy, Yeo Kuei Siong, David, Chua Thai Chong
Format: Article
Language:English
Subjects:
Adult
Aged
AO broken implant set
Bone Nails
Bone Screws
Bone Wires
Broken intramedually nail
Device Removal - instrumentation
Device Removal - methods
Equipment Failure
Female
Femoral Fractures - surgery
Fracture Fixation, Intramedullary - instrumentation
Humans
Male
Removal of nail
Rotation
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Description
Summary:We describe a novel technique for removing broken intra-medullary femoral nails This technique involves the initial removal of the blade, screw at proximal femur, and proximal part of the broken nail. A hole is then drilled in the remnant nail and a cerclage wire passed into the hole. The distal interlocking screw is then removed, before removing the nail. In these case studies, the nail was removed from the patients using the technique of drilling a hole into the remnant nail and passing a cerclage wire through for removal, without any complications. The method described is easy, replicable, and requires only a steel drill, cerclage wires, nail extraction hook and slotted hammer.
ISSN:0020-1383
1879-0267
DOI:10.1016/j.injury.2020.03.038