Open AccessRemoving a Bent Femoral Intramedullary Nail Cost Effectively: A Case Report
Author(s) -
S H Sa'aid,
Mohd Yazid Bajuri,
F N Dzeidee-Schaff,
M H Abdul-Suki
Publication year - 2021
Publication title -
malaysian orthopaedic journal/malaysian orthopaedic journal
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.271
H-Index - 6
eISSN - 2232-111X
pISSN - 1985-2533
DOI - 10.5704/moj.2107.024
Subject(s) - intramedullary rod , bent molecular geometry , nail (fastener) , medicine , femur , surgery , orthopedic surgery , structural engineering , engineering
A bent intramedullary (IM) nail becomes challenging and technically demanding to the orthopaedic surgeon for nail extraction. A broken nail can be easily removed through the fracture site. However, a bent nail has to be broken before it can be removed. Several studies and case reports outline the strategies and techniques for removing a bent IM nail. However, there is a paucity of guidelines and standard protocol describing the best and inexpensive strategy. We report a case where two years following surgery for intramedullary nailing of the right femur, the IM mail was bent following secondary trauma. We used a technique based on the principles of an ability to fully cut the nail and extract it in two pieces by using a Jumbo cutter which is available in the orthopaedic armamentarium. This technique is simple yet economical, with the likelihood of causing less soft tissue damage and thermal necrosis.