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. 2012 Nov;6(3):66-8.
doi: 10.5704/MOJ.1207.011.

A simple method for removal of the distal segment of a broken femoral intramedullary nail: a case report

Kl Pan  1 , Pr Reuben  2
Affiliations

A simple method for removal of the distal segment of a broken femoral intramedullary nail: a case report

Kl Pan et al. Malays Orthop J. 2012 Nov.

Abstract

Abstract: We report a method for removing the distal segment of a broken locked intramedullary nail secondary to nonunion of the femur following radiotherapy for fibromatosis. A Kirschner wire with one tip fashioned into a hook was used to remove the distal segment without opening with the nonunion site. Details of the procedure are described.

Key words: Broken intramedullary nail, removal of distal segment.

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Figures

<b>Fig. 1a</b>: K-wire with the tip bent.
Fig. 1a: K-wire with the tip bent.
<b>Fig. 1b</b>: Same wire with distal 2-3mm cut off to make it easier to engage the screw holes.
Fig. 1b: Same wire with distal 2-3mm cut off to make it easier to engage the screw holes.
<b>Fig. 1c</b>: Tip of wire engaging screw hole with arrow indicating the curved tip.
Fig. 1c: Tip of wire engaging screw hole with arrow indicating the curved tip.
<b>Fig. 1c</b>: T-handle holding the K-wire and a mallet to help deliver the broken nail proximally.
Fig. 1c: T-handle holding the K-wire and a mallet to help deliver the broken nail proximally.
<b>Fig. 12</b>: Tapered end of nail would not have allowed a curved Kwire to go through.
Fig. 12: Tapered end of nail would not have allowed a curved Kwire to go through.
See this image and copyright information in PMC

References

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