1/6. Removal of the retained fragment of broken solid nails by the intra-medullary route.The development of solid nails has not eliminated the risk of occasional nail failure. It has been suggested that subsequent intra-medullary removal of solid nail fragment may be virtually impossible and thus major surgery is required for their revision. We report two cases of hardware failure of a solid intra-medullary nail (Synthes solid femoral and tibial nail) and describe their successful intra-medullary removal using the Synthes extraction kit.- - - - - - - - - - ranking = 1keywords = extraction (Clic here for more details about this article) |
2/6. Minimally invasive femoral nail extraction.INTRODUCTION: Case report about a minimally invasive technique for removal of a femoral antegrade nail (FAN). Femoral nails are introduced by minimally invasive techniques, but are often removed with more invasive surgery. MATERIALS AND methods: Four cases of young patients are described in whom the femoral nail was removed after consolidation by a minimally invasive extraction technique at the trochanteric site. By using a threaded wire for locating the proximal entrance of the femoral nail followed by reaming over the wire, the entrance of the nail in the trochanteric region is freed. Then the extraction bolt can be placed over the wire and the nail can be extracted through the same incision as it was inserted in, without enlarging the incision. DISCUSSION: This case report discusses a technique for minimally invasive femoral nail extraction, not the necessity of removing nails. Leaving out the endcap at the initial operation is the only preoperative condition, since the endcap blocks the entrance of the nail. This operation is done with fluoroscopic guidance. The difficult part is the reaming. The reamer must not be damaged when approaching the nail entrance. This minimally invasive femoral nail extraction technique is applicable for various types of femoral nails. CONCLUSION: Minimally invasive extraction of femoral nails is possible and needs more attention. The level of evidence is a level IV case series.- - - - - - - - - - ranking = 9keywords = extraction (Clic here for more details about this article) |
3/6. Late postoperative infection caused by pasteurella multocida.pasteurella multocida is often found in local infections after animal bites. Septic conditions however are rare. A case of late infection by P. multocida at the site of the osteosynthesis 1 year after a primarily healed pertrochanteric fracture is described. The patient had a cat. After extraction of the plate and screws and treatment with penicillin the infection healed uneventfully.- - - - - - - - - - ranking = 1keywords = extraction (Clic here for more details about this article) |
4/6. Use of a tap extractor to remove a broken tap within a Grosse-Kempf intramedullary nail: case report.A tap extractor was used to dislodge a broken tap that prevented removal of an intramedullary nail. This was imperative because of metal incompatibility and corrosion. Correct use of extraction equipment should allow atraumatic retrieval of intramedullary fixation. The proper technique for retapping a thread in an intramedullary nail is described.- - - - - - - - - - ranking = 1keywords = extraction (Clic here for more details about this article) |
5/6. Complicated removal of the distal locking device of Brooker-wills.Fractures of the femur in two women, ages 17 and 27, were treated with Brooker-wills nails. While the distal deployment device was inserted into the nail in one patient, the tip of the driver/inserter broke into the proximal end of the distal deployment device. This complicated the extraction of the nail and the distal locking device after healing of the fracture. In the other patient, removal of the distal locking device and the nail was complicated by inability to engage the tip of the driver inserter into the proximal end of the distal deployment device. The method described here facilitates removal of nails and the distal locks.- - - - - - - - - - ranking = 1keywords = extraction (Clic here for more details about this article) |
6/6. Technique for removal of intramedullary nails when there is failure of the proximal extraction device: a report of three cases.When attempting to remove an intramedullary nail, the extraction device can fail. This can occur due to stripping of the proximal threads or, more rarely, due to entrapped broken metal devices (impacted cap screws; broken introducers, extractors, or taps). This latter situation is particularly problematic if access to the intramedullary portion of the nail and proximal threads is not possible. A technique for implant removal utilizing a high-speed drill is described in this report.- - - - - - - - - - ranking = 5keywords = extraction (Clic here for more details about this article) |