'Extended tibia osteotomy': a technical tip for removal of incarcerated reamer with broken guide wire bead during tibia nailing and literature review

Intramedullary nailing has become a standard of care for tibia fractures. Reaming is an essential part of this technique due to its multiple advantages like a better fit and earlier union. In young bone, with a narrow cortical canal, incarceration and breakage of reamer is a possibility. This can be...

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Bibliographic Details
Published in:BMJ case reports 2022-03, Vol.15 (3), p.e247812
Main Authors: Vatsya, Pulak, Mittal, Samarth, Karpe, Aashraya, Trikha, Vivek
Format: Article
Language:English
Subjects:
Bone Nails - adverse effects
Case reports
Case Reports: Novel treatment (new drug/interventions
established drug/procedure in new situation)
Fracture Fixation, Intramedullary - adverse effects
Fracture Fixation, Intramedullary - methods
Fractures
Humans
Laparoscopy
Legs
Orthopedic apparatus
Orthopedics
Osteotomy
Prisoners
Surgical techniques
Tibia - surgery
Tibial Fractures - surgery
Citations: Items that this one cites
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Description
Summary:Intramedullary nailing has become a standard of care for tibia fractures. Reaming is an essential part of this technique due to its multiple advantages like a better fit and earlier union. In young bone, with a narrow cortical canal, incarceration and breakage of reamer is a possibility. This can be removed with a ball-tip guidewire. In our case, the broken incarcerated reamer was complicated by a broken ball-tip of the guidewire, leading us to invent a novel medial tibial osteotomy window for the reamer removal. This can be a handy tool for a stuck surgeon intraoperatively.
ISSN:1757-790X
1757-790X
DOI:10.1136/bcr-2021-247812