Kırılan femur intramedüller çivisini çıkartmada yeni bir yöntem

Year 2014, Volume: 48 Issue: 2, 223 - 225, 22.04.2014

Sunil Kumar Attar Singh Rajesh Kumar Chopra Sunil Sehrawat Akshay Lakra

https://doi.org/10.3944/AOTT.2014.3111

Abstract

Kırık femur intramedüller çivisinin distal parçasının çıkartılması için yeni bir teknik tanımladık. Kırık distal çividen geçilen kılavuz teli femur distalinden çıkılır ve bu tel üzerinden antegrad olarak çakılan yeni bir Kuntscher çivisi ile kırık parça femur distalinden dışarı itilerek çıkartılır. Pratik ve basit olan bu yöntemden yararlanmak için kolayca temin edilebilecek bir kılavuz teli ve Kuntscher çivisi yeterlidir.

Keywords

Kırık intramedüller çivi; femur kırığı, implant çıkartma

A novel method for the removal of distal part of broken intramedullary femoral nail

Abstract

We describe a new technique for the removal of the distal part of a broken intramedullary interlocking femoral nail. The distal part of the nail is pushed outward with the help of a antegradely driven new nail. This method is simple, less time consuming and requires only a Kuntscher’s nail and a guidewire which are easily available in the operating rooms.

Keywords

Fracture, intramedullary nailing, femur fracture, implant removal

References

• Franklin JL, Winquist RA, Benirschke SK, Hansen ST Jr. Broken intramedullary nails. J Bone Joint Surg Am 1988;70:1463-71.
• Bucholz RW, Ross SE, Lawrence KL. Fatigue fracture of the interlocking nail in the treatment of fractures of the distal part of the femoral shaft. J Bone Joint Surg Am 1987;69:1391-9.
• Hahn D, Bradbury N, Hartley R, Radford PJ. Intramedullary nail breakage in distal fractures of the tibia. Injury 1996;27:323-7.
• Brewster NT, Ashcroft GP, Scotland TR. Extraction of broken intramedullary nails--an improvement in technique. Injury 1995;26:286.
• Khan FA. Retrieval of a broken intramedullary femoral nail. Injury 1992;23:129-30.
• Levy O, Amit Y, Velkes S, Horoszowski H. A simple method for removal of a fractured intramedullary nail. J Bone Joint Surg Br 1994;76:502. Middleton RG, McNab IS, Hashemi-Nejad A, Noordeen MH. Multiple guide wire technique for removal of the short distal fragment of a fractured intramedullary nail. Injury 1995;26:531-2.
• Blake SM. A technique of removal of distal part of a broken intramedullary nail. Ann R Coll Surg Engl 2009;91:161
• Winquist RA. Broken interlocking nail and screws. Techniques Orthop 1998;13:15-26.
• Maini L, Upadhyay A, Aggarwal A, Dhaon BK. A new method of removing a fractured interlocked nail. Injury 2002;33:261-2.
• Magu NK, Sharma AK, Singh R. Extraction of the broken intramedullary femoral nail--an innovative technique. Injury 2004;35:1322-3.
• Marwan M, Ibrahim M. Simple method for retrieval of distal segment of the broken interlocking intramedullary nail. Injury 1999;30:333-5.
• Park SY, Yang KH, Yoo JH. Removal of a broken intramedullary nail with a narrow hollow. J Orthop Trauma 2006;20:492-4.