Self-Made Minimally Invasive Broken Nail Extractor for Distal Broken Segment of Cannulated Intramedullary Nails: One Case Application Report and Literature Review

A B S T R A C T

Introduction: Successful minimally invasive extraction of a broken intramedullary distal piece of the nail is very challenging. We herein report a simple and reproducible technique of extraction of broken cannulated intramedullary nails using a self-made minimally invasive broken nail extractor.
Case Presentation: We present a 48-year-old male patient who was admitted to our hospital for internal implant removal, whose right tibial fracture had healed, and a broken intramedullary nail was retained at the distal of the tibial for 12 years. The preoperative X-ray films showed the broken intramedullary nail was cannulated and the outer diameter is 10 mm, larger than the isthmus of the medullary cavity.
Results: After reaming with Φ 11 mm drill, the self-made broken nail extractor was inserted into the medullary cavity from the nail entry point and passed through the canal of the broken nail, and successfully pulled out the broken nail.
Conclusion: Our technique is a simple, reproducible alternative that has a high extraction success rate for the distal broken segments of cannulated intramedullary nails.

Keywords

Broken intramedullary nail, broken nail extractor, minimally invasive, self-made



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Article Info

Article Type
Case Report and Review of the Literature
Publication history
Received: Mon 27, Dec 2021
Accepted: Mon 10, Jan 2022
Published: Fri 21, Jan 2022
Copyright
© 2023 Qudong Yin. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. Hosting by Science Repository.
DOI: 10.31487/j.SCR.2022.01.02

Author Info

Changbao Wei Qudong Yin Guo Shu Ma Sanjun Gu Yu Liu

Corresponding Author
Qudong Yin
Department of Orthopaedics, Wuxi No. 9 People’s Hospital Affiliated to Soochow University, Jiangsu, China

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References

1.     Lo YC, Su YP, Hsieh CP, Huang CH (2019) Augmentation Plate Fixation for Treating Subtrochanteric Fracture Nonunion. Indian J Orthop 53: 246-250. [Crossref]

2.     Aldemir C, Duygun F (2019) Outcome of Locked Compressive Nailing in Aseptic Tibial Diaphyseal Nonunions without Bone Defect. Indian J Orthop 53: 251-256. [Crossref]

3.     Wang Z, Li K, Gu Z, Fan H, Li H (2021) The risk assessment model of fracture nonunion after intramedullary nailing for subtrochanteric femur fracture. Medicine (Baltimore) 100: e25274. [Crossref]

4.     Marquez Lara A, Luo TD, Senehi R, Aneja A, Beard HR et al. (2017) Exchange Nailing for Hypertrophic Femoral Nonunion. J Orthop Trauma 31: S23-S25. [Crossref]

5.     Abdelgawad AA, Kanlic E (2013) Removal of a broken cannulated intramedullary nail: review of the literature and a case report of a new technique. Case Rep Orthop 2013: 461703. [Crossref]

6.     Metikala S, Mohammed R (2011) Closed retrograde retrieval of the distal broken segment of femoral cannulated intramedullary nail using a ball-tipped guide wire. Indian J Orthop 45: 347-350. [Crossref]

7.     El Alami W, Dutta A, Slater N (2019) A tissue sparing technique to remove the distal fragment of a broken femoral nail. Ann R Coll Surg Engl 101: 77. [Crossref]

8.     Smith G, Khan A, Marsh A (2012) A novel way to remove a broken intramedullary nail. Ann R Coll Surg Engl 94: 605. [Crossref]

9.     Soni A, Sharma A, Kansay RK, Vashist D (2019) Novel Method for Removal of Broken Intramedullary Interlocking Nail with a Subtrochanteric Fracture: A Case Report. JBJS Case Connect 9: e0182. [Crossref]

10.  Gil JA, McClure P, Born CT (2017) Removal of the Distal Aspect of a Broken Tibial Nail. Am J Orthop (Belle Mead NJ) 46: E112-E115. [Crossref]

11.  Singh SKA, Chopra RK, Sehrawat S, Lakra A (2014) A novel method for the removal of distal part of broken intramedullary femoral nail. Acta Orthop Traumatol Turc 48: 223-225. [Crossref]

12. Steinberg EL, Luger E, Menahem A, Helfet DL (2004) Removal of a broken distal closed section intramedullary nail: report of a case using simple method. J Orthop Trauma 18: 233-235. [Crossref]