J Korean Fract Soc.  2015 Jul;28(3):194-197. 10.12671/jkfs.2015.28.3.194.

Extraction of Misplaced Endcap during Tibia Intramedullary Nailing by 'Fish-Hook' Technique: Technical Note

• Yun SH
• Yang JH

• KMID: 2184418
• DOI: http://doi.org/10.12671/jkfs.2015.28.3.194

Abstract

Endcap placement after intramedullary nailing can be cumbersome. Misplacement of the endcap which may be difficult to extract may occur. In this report, a simple Kirschner wire device with 'fish-hook' technique may ease the procedure without further violating bony or soft tissues.

Keyword

Endcap; Intramedullary nailing; Tibia

MeSH Terms

Fracture Fixation, Intramedullary*
Tibia*

Figure

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  Fig. 1 Initial presentation radiograph at our clinic. Nonunion and varus angulation of the previous fracture site is demonstrated. Notice the hypertrophied fibular. AP: Anteroposterior.

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  Fig. 2 (A) Endcap misplaced at the metaphyseal area of the proximal tibia posterior to the intramedullary nail. (B) Curved long Kelly forceps appear to displace the endcap further distally and anteriorly. (C) Without violating the anterior cruciate ligament footprint area, the fish hook K-wire was successful in holding the misplaced endcap. (D, E) Finally, the endcap was extracted.

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  Fig. 3 Immediate postoperative radiographs. AP: Anteroposterior.

Reference

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