A Simple Technique to Locate the Nail Tip in a Buried Interlocking Nail in Femur while Extraction
Aims and background: At times, when interlocking nailing is done, the nail is buried into the medullary canal, and the nail tip is no longer visible. When the nail has to be extracted for some reason, the greater trochanter with abductor attachment has to be nibbled more than what is really necessar...
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| Main Authors: | , |
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| Format: | Article |
| Language: | English |
| Published: |
Jaypee Brothers Medical Publisher
2024-06-01
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| Series: | Journal of Orthopedics and Joint Surgery |
| Subjects: | |
| Online Access: | https://www.jojs.in/doi/JOJS/pdf/10.5005/jojs-10079-1144 |
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| Summary: | Aims and background: At times, when interlocking nailing is done, the nail is buried into the medullary canal, and the nail tip is no longer visible. When the nail has to be extracted for some reason, the greater trochanter with abductor attachment has to be nibbled more than what is really necessary to locate the nail tip.
Technique: We have found a simple technique to locate the nail tip, thereby reducing the chance of damage to the bone and soft tissue. So far, we have used this technique in eight cases. The mean operating time was 34 minutes. Number of mean fluoroscopic exposure was six.
Conclusion: It is an easily reproducible technique without the need for any specialized instruments.
Clinical significance: This new technique is very handy in the extraction of buried femoral nails without substantial injury to the abductor mechanism, even for inexperienced surgeons. |
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| ISSN: | 2582-7863 |