Volume 7, 2021
|Number of page(s)||4|
|Published online||08 March 2021|
Ball tipped guide wire for broken nail removal: a case report
Department of Orthopaedic Surgery, Patel Hospital, 75300 Karachi, Pakistan
* Corresponding author: firstname.lastname@example.org
Accepted: 10 February 2021
A broken intramedullary nail is a well-known complication of non-union of femur shaft fractures. Numerous surgical techniques have been presented before in patients with non-union of long bone fractures. We report the surgical technique used to perform removal of the broken distal segment of a nail in a patient who achieved uneventful union after intramedullary nailing of closed femur shaft fracture. A ball-tipped guidewire was inserted through the broken segment of the femur nail. A pre-bend plain wire was then inserted. With the help of a vise-grip, both wires were twisted in order to make a secure handle between guidewires and a broken implant. With the help of a mallet upward-directed blows were applied to extract a broken segment of the nail. We found ball-tipped guidewire technique a useful and effective technique in removing the broken distal portion of the nail.
Key words: Femur fracture / Intramedullary nail / Union / Broken nail / Guidewire
© The Authors, published by EDP Sciences, 2021
This is an Open Access article distributed under the terms of the Creative Commons Attribution License (https://creativecommons.org/licenses/by/4.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
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