Removal of hardware in orthopaedic surgery is usually encountered in revision fracture surgery for non union, mal union, infection and peri-implant failure. If the hardware has broken this can make revision surgery even more demanding. Numerous techniques have been described to facilitate implant removal. A broken femoral nail is not an uncommon presentation of a delayed union or a non union. We describe a simple and innovative technique to remove the distal portion of broken intramedullary nails without causing any further trauma. This technique can be extended to include most hollow intramedullary nails.
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Purpose: Previous studies have shown that subtrochanteric femoral fractures treated with intramedullary nails might lead to varus-procurvatum malalignment. Similar results have been reported when using antegrade intramedullary lengthening nails (ILNs). The purpose of our study is to examine if antegrade telescoping intramedullary lengthening nails lead to varus-procurvatum malalignment of the proximal femur and what are possible predictors of that shift.
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Department of Orthopaedic Surgery, Wuhan Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China. Electronic address:
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Closed Management of a Bent Tibial Nail: Can Revision Be Avoided?: A Case Report.
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