ABSTRACT
This report describes the procedures applied to remove a metal foreign body retained inside the ulnar nerve in the distal humerus of a 49-year-old patient. Exemplified by an unfavorable primary treatment this article presents the first description of removal of an foreign body retained within a nerve whereby emphasis is placed on the problems associated with the preoperative and intraoperative localization of the foreign particle.
Subject(s)
Device Removal/methods , Foreign-Body Migration/surgery , Neurosurgical Procedures/methods , Peripheral Nerve Injuries/surgery , Ulnar Nerve/injuries , Ulnar Nerve/surgery , Foreign-Body Migration/diagnostic imaging , Humans , Humerus/diagnostic imaging , Humerus/injuries , Male , Middle Aged , Peripheral Nerve Injuries/diagnostic imaging , Radiography , Treatment Outcome , Ulnar Nerve/diagnostic imagingABSTRACT
We report the case of a 62-year-old woman with marked valgus and limitation of extension of the right knee joint as the result of a supracondylar fracture of the femur, originally treated by internal fixation with a dynamic condylar screw. Two years later, revision osteotomy with retrograde femoral nailing was carried out to achieve variation and improve extension. Within a week of operation the patient's right leg was fully weight bearing with normal axial positioning. A retrograde locking nail provides satisfactory and stable internal fixation in cases of revision.