Anterograde removal of broken femoral nails without opening the nonunion site: a new technique
Clinics
;
65(3): 279-283, 2010. ilus, tab
Article
in English
| LILACS
| ID: lil-544020
ABSTRACT
OBJECTIVE:
We describe a new technique for removing the distal fragments of broken intramedullary femoral nails without disturbing the nonunion site.METHODS:
This technique involves the application of an AO distractor prior to the removal of the nail fragments, with subsequent removal of the proximal nail fragment in an anterograde fashion and removal of the distal fragment through a medial parapatellar approach. Impaction of the fracture site is then performed with a nail that is broader than the remaining fragmented material.RESULTS:
Nails were removed from five patients using the technique described above without any complications. After a mean follow-up period of 61.8 months, none of these patients showed worsened knee osteoarthritis.CONCLUSION:
The original technique described in this article allows surgeons to remove the distal fragment of fractured femoral intramedullary nails without opening the nonunion focus or using special surgical instruments.
Full text:
Available
Index:
LILACS (Americas)
Main subject:
Pseudarthrosis
/
Bone Nails
/
Osteogenesis, Distraction
/
Device Removal
/
Femoral Fractures
/
Fracture Fixation, Intramedullary
/
Knee Joint
Type of study:
Observational study
/
Prognostic study
Limits:
Adult
/
Female
/
Humans
/
Male
Language:
English
Journal:
Clinics
Journal subject:
Medicine
Year:
2010
Type:
Article
Affiliation country:
Brazil
Institution/Affiliation country:
Universidade de São Paulo/BR
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