Open Access
Table 1
Techniques of removing broken nail.
| Study | Technique | Comments |
|---|---|---|
| Metikala and Mohammed [5] | Ball tipped wire passed through the knee retrograde and nail fragment extracted in antegrade manner | Violation of knee joint |
| Zhao and Slater [6] | Plain guidewire passed through nail fragment and extracted out distally by a cortical window below the fragment. Flexible reamer then used over the guidewire to push fragment out of the window | Cortical window leads to additional surgical insult to the bone. Refixation will need cables as mentioned by the author. Larger broken fragments and very distal fragments are not amenable to this technique |
| Pongsamakthai et al. [7] | Insertion and impaction of a T-reamer in the canal of nail fragment followed by antegrade extraction | Appropriately sized T reamer must be available. More suited for slotted nails as impaction may be better. Damage to the reamer and generation of metal particles inside the medullary canal are a possibility |
| Mazzini et al. [8] | Fracture site exposed and nail fragments extracted via cement rongeur and cement extraction hook | Special instrumentation is necessary. Opening of fracture site is also required |
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