Extraction of Intramedullary Nails by Proximal Stacked Wire Technique

Weinrauch, Patrick C.; Blakemore, M.E.

doi:10.1097/bot.0b013e3181583b34

Cited by 13 publications

(13 citation statements)

References 8 publications

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“…Universal conical extraction devices have also been developed. 22,23 In developing countries, the standard nails have also been utilized in facilities with image intensifiers.…”

Section: Discussionmentioning

confidence: 99%

“…Removal of intramedullary nails require the availability of implant-specific threaded extraction bolts or similar instrumentation. 6,19,[22][23][24] Sometimes the appropriate extraction system may not be available, or the available extraction system may not fit. In these situations, an alternative system has to be utilized for the intramedullary nail extraction.…”

Section: Introductionmentioning

confidence: 99%

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Removal of locked intramedullary nails with the aid of bolts

Echem

Eyimina

2020

Int J Res Med Sci

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Indications for removal of implants in the literature include symptomatic implants, skeletally immature patients, broken and/or failed implants, soft tissue compromise, nonunion, malunion, infection, fear of carcinogenesis, peri-implant failure, prevention of post ABSTRACT Background: Removal of an intramedullary nail would require the extraction system of the inserted nail to be available. Sometimes the system is not available, and an alternative system would have to be utilised. Aim of the study was to document the removal of interlocked nails using bolts in the absence of appropriate fitting extraction system. Methods: A prospective study of consecutive patients seen by the authors between September 2016 and September 2018 in private clinics in Port Harcourt where the authors were invited to remove intramedullary nails. Bolts fitted to the proximal tips of the nails were utilized. With the aid of plier applied to the bolts and mallet, the nails were extracted. The patients' socio-demographic and information relevant to the injury were obtained. Data was analysed using SPSS version 23. Results: Fifteen patients were seen. Ages ranged from 29 to 72 years, consisting of 10 males and five females. The tibia was affected in six and the femur in nine. There were five united tibial fractures and one non-united tibial fracture, six united femoral fractures and three non-united femoral fractures. Indication for removal was mostly patients' request. Duration of surgery ranged from 1 to 4 hours. All the nails were extracted. Complications included broken nail, heterotopic calcification, bony overgrowth/ ingrowth/ongrowth around the nail and interlocking screws. There was no mortality. Conclusions: In the absence of conventional intramedullary nail extraction system, appropriate size bolts can be applied to the threaded proximal tip of nails and used for nail extraction.

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“…Universal conical extraction devices have also been developed. 22,23 In developing countries, the standard nails have also been utilized in facilities with image intensifiers.…”

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Removal of locked intramedullary nails with the aid of bolts

Echem

Eyimina

2020

Int J Res Med Sci

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“…However, few reports describe techniques for removal of jammed unbroken femoral nails [4,23,24], and articles describing complications [3,15,20] do not mention the problem of a jammed expandable nail. To the best of our knowledge, the technique of retrograde mobilization through a small-incision arthrotomy has not been described before.…”

Section: Discussionmentioning

confidence: 99%

“…Their technique, however, requires large soft tissue dissection to expose the proximal part of the nail. Another technique for removing a jammed intramedullary nail using olive-tipped multiple guide wires was described by Weinrauch and Blakemore [23]. Guide wires were passed The Removal of an Incarcerated Expandable Nail 1407 through the proximal nail opening into the proximal locking screw holes.…”

Section: Discussionmentioning

confidence: 99%

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A New Technique for Removal of an Incarcerated Expandable Femoral Nail

Liodakis

Krettek

Kenawey

et al. 2010

Clinical Orthopaedics &Amp; Related Research

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Removal of intramedullary nails often is relegated to younger surgeons but may be difficult and challenging. We describe difficulties with removal of an incarcerated expandable femoral nail and a new technique for retrograde mobilization of an intramedullary nail through a small infrapatellar incision. No special device was necessary for successful implant removal. Level of Evidence: Level V, therapeutic study. See Guidelines for Authors for a complete description of levels of evidence.

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