Clin Orthop Surg.  2016 Jun;8(2):210-213. 10.4055/cios.2016.8.2.210.

New Technique for Removal of the Ulnar Intramedullary Nail Failed to Remove: Broken Assembly Piece in the Nail

• Yi JW
• Oh BH
• Kim SB
• Heo YM
• Kim TG
• Kim DH
• Jung YS

• KMID: 2412348
• DOI: http://doi.org/10.4055/cios.2016.8.2.210

Abstract

Methods about removal of intramedullary nail in complicated cases were reported in some literatures but there are no reports about nail removal in the ulna. The authors would like to report such a case and the technique. We removed bone of the inlet site and created another bony window using an osteotome to expose the interlocking screw holes. Only a bony window the size of 2 inter-interlocking holes at the most proximal part of the nail can be used to remove the nail with minimal damage of the triceps brachii tendon and soft tissue.

Keyword

Intramedullary nailing; Device removal

MeSH Terms

Adult
Bone Nails/*adverse effects
*Device Removal
Fracture Fixation, Intramedullary/*instrumentation/*methods
Humans
Male
*Prosthesis Failure
Ulna/diagnostic imaging/*surgery

Reference

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2. Levy O, Amit Y, Velkes S, Horoszowski H. A simple method for removal of a fractured intramedullary nail. J Bone Joint Surg Br. 1994; 76(3):502.

3. Georgiadis GM, Heck BE, Ebraheim NA. Technique for removal of intramedullary nails when there is failure of the proximal extraction device: a report of three cases. J Orthop Trauma. 1997; 11(2):130–132.