A Modified Technique for Removing a Bent Intramedullary Nail Minimizing Bone and Soft Tissue Dissection

Retrieval of broken iliosacral screws: The power of a push screw

“…However, no single technique is uniformly successful, and several methods may need to be attempted to remove intact or broken hardware [18][19][20][21][22][23][24]. The techniques described in the literature are mainly for plates, screws, intramedullary nails, and locking screws.…”

Anatomic Approach To The Removal Of A Bent Intramedullary Nail In A Refractured Tibia Minimising Soft Tissue And Bone Injury: A Rare Case Report.

“…In literature, the techniques described for removal of bent nails involve cutting the nail at the bent and then removing it, or the weakening of the nail by drilling holes at the bent using metal drills or diamond cutters after exposing the fracture site. 8,9 Others remove the nail by first straightening it in-situ then removal without exposing the fracture site. 4 In this patient after reviewing literature on the removal of bent intramedullary tibial nails and given the fact that she has had previous extensive soft tissue injuries, we wanted to minimize injury to bone and tissues, keeping in mind that we did not have the requisite drills or cutters to drill or cut the nail in its bent convexity in our possession.…”

A Simple Technique to Remove a Bent Femoral Intramedullary Nail and Broken Interlocking Screw

“…2,4 We think that removing the distal part of the nail from the fracture site is difficult, requiring more soft tissue dissection, more extensive bony resection, and excessive disruption of callus, which may impede fracture healing.…”

“…Under image intensifier, a curved artery forceps was passed anterior to the femur and the broken screw was removed (Figs. [2][3][4][5].…”

“…[1][2][3][4][5][6][7] We would like to share our experience of similar difficulties faced and the technique employed to remove a bent femoral nail and a broken distal interlocking screw. The patient had exchange nailing and was reviewed regularly until bony union was achieved.…”