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Femoral intramedullary nail extraction using the kissing nail technique when primary measures fail.
OTA Int
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 PDFIatrogenic Type A Aortic Dissection Following Percutaneous Coronary Intervention.
Cureus
November 2024
Internal Medicine, St Johns Hospital, Livingston, GBR.
Iatrogenic type A aortic dissection (IAAD) is a rare but life-threatening complication of percutaneous coronary intervention (PCI), often presenting significant therapeutic challenges. A looped guidewire between the right subclavian artery and brachiocephalic artery during coronary angiography (CAG) via right radial artery access can complicate catheter manipulation. This report discusses the case of a 58-year-old hypertensive female patient who developed aortic dissection during PCI, specifically due to wire manipulation at the brachiocephalic loop.
View Article and Find Full Text PDFDisplaced Jeffery Type 2 Radial Neck Fracture Managed by a Modified Métaizeau Technique: A Case Report.
J Orthop Case Rep
December 2024
Department of Orthopaedics, Government Medical College, Haldwani, Uttarakhand, India.
Introduction: The radial neck fractures in children are uncommon injures and more so in the settings of an associated elbow dislocation. Radial neck fracture, with 90° posterior rotation of the articular surface with respect to its normal axis, is a characteristic feature of rare Jeffery type 2 injury. This injury pattern is reported as sporadic reports or small series in the literature.
View Article and Find Full Text PDFCoronary chronic total occlusions (CTO) are frequently identified during coronary angiography and remain the most challenging subset of coronary artery lesions to treat; however, advancements in techniques and materials have greatly improved success rates. Various crossing algorithms have been developed to standardise the approach to CTO interventions based on angiographic criteria. Antegrade wiring is typically the initial strategy of choice, particularly in cases of short and straight CTOs with tapered proximal cap.
View Article and Find Full Text PDFDrug-Eluting Stent Delivery Via Nonexternalized Retrograde Wire in Chronic Total Occlusion Intervention: First Report.
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Cardiovascular Department, MontLégia, Liège, Belgium.
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