Despite advances in metallurgy, fatigue failure of hardware in orthopaedics is common especially when a fracture fails to heal. Revision procedures can be difficult, usually requiring removal of intact or broken hardware. Several different methods are usually used to successfully remove the intact or broken hardware. The proximal blade fracture is rare and under-reported in the literature. In our tertiary non-union and limb reconstruction unit, we have developed a technique for an easy and quick removal of a broken proximal femoral blades.
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http://dx.doi.org/10.1016/j.jcot.2019.10.003 | DOI Listing |
Cureus
November 2024
Trauma and Orthopaedics, North Manchester General Hospital, Manchester, GBR.
Introduction: Salvage arthroplasty for failed proximal femoral fracture fixation is a complex procedure. This involves the removal of the primary failed or broken implant followed by a hip joint replacement procedure. The complications and technical difficulties associated with these surgeries are often difficult to anticipate.
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March 2025
Department of Orthopedic Surgery, Detroit Medical Center, Detroit, MI.
Introduction: Intramedullary femoral nails (IMFNs) need to be removed for subsequent joint replacement, refracture, nonunion, or infection. The tools used to extract newer IMFNs may not be suited for removal of older implants, especially if broken. The purpose of this study was to describe a novel technique in femoral nail extraction when primary measures fail and a report on 6 cases where it was used.
View Article and Find Full Text PDFJ Orthop Case Rep
December 2024
Department of Orthopaedics, Postgraduate Institute of Medical Education and Research, Chandigarh, India.
Introduction: Delayed union, non-union, and unstable fixation can lead to fatigue fractures of orthopedic implants. Breakages typically occur at the fracture site or locking screw insertion, acting as stress concentration foci. This case report highlights a rare instance of a 3-part broken proximal femoral nail (PFN), extracted using a corticotomy-assisted method without knee joint violation.
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October 2024
Cardiology, Vardhman Mahavir Medical College and Safdarjung Hospital, New Delhi, IND.
The umbilical vein can be reliably used for central venous access in neonates less than 14 days old. The catheter used in the umbilical vein normally extends proximally to the inferior vena cava and can be utilized for drug delivery as well as venous sampling. Herein, we describe a neonate with a broken umbilical vein catheter (UVC) stuck in the right atrium and inferior vena cava (IVC), and its successful, uneventful removal via the transfemoral route.
View Article and Find Full Text PDFJ Orthop Case Rep
November 2024
Department of Orthopaedics, Jaipur Golden Hospital, Institutional Area Sector 3 Rohini, Delhi, India.
Introduction: Proximal femoral nail antirotation - II (PFNA- II) is a common treatment for intertrochanteric fractures in the elderly. Removing PFNA is difficult in rare circumstances due to blade head stripping or breaking. In this article, we endeavored to explain an easy methodology that can be utilized to remove stripped, damaged anti-rotation blades for which few had been formulated but other procedures have failed.
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