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Case Reports
. 2019 Sep-Oct;10(5):969-971.
doi: 10.1016/j.jcot.2019.01.014. Epub 2019 Jan 15.

Technical tip for removal of broken cephalomedullary reamer tip in cases of proximal femoral nailing

Arvind Kumar  1 , Aditya Jain  1 , Suman Saurabh  1 , Vivek Trikha  2 , Samarth Mittal  2
Affiliations
Case Reports

Technical tip for removal of broken cephalomedullary reamer tip in cases of proximal femoral nailing

Arvind Kumar et al. J Clin Orthop Trauma. 2019 Sep-Oct.

Abstract

Instrumentation breakage around hip joint can pose a challenging situation considering its vicinity to several vital structures. Broken fragments carry the risk of migration and thus should be removed as early as possible. A case of successful retrieval of broken tip of cephalomedullary lag screw reamer of a cephalomedullary nail, in basicervical region of femoral neck, during fixation of a subtrochanteric femoral fracture has been reported. Literature review has been done to suggest techniques to tackle similar situations using simple and commonly available instruments.

Keywords: Broken; Cephalomedullary; Hip; Instruments; Nail; Reamer.

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Figures

Fig. 1
Fig. 1
Intraoperative image intensifier pictures showing broken cephalomedullary lag screw reamer tip fragments.
Fig. 2
Fig. 2
Intraoperative image intensifier pictures showing the inferior fragment being scooped out towards the nail entry point using a curette.
Fig. 3
Fig. 3
The broken cephalomedullary lag screw reamer along retrieved broken fragments.
See this image and copyright information in PMC

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