Flexible Intramedullary Nail Removal Using a Broken Screw Removal Set

Ferry, Scott T.; Dahners, Laurence E.

doi:10.1097/00005131-200605000-00009

Cited by 6 publications

(5 citation statements)

References 4 publications

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“…c Röntgenaufnahmen postoperativ nach Stabilisierung der iatrogenen Fraktur mittels Zugschrauben und durchgeführtem hinteren Kreuzbandersatz insbesondere dann, wenn die Nagelenden wenig prominent sind. Ferry u. Dahners[12] haben hier ein elegantes und effektives Verfahren beschrieben, wie diese flexiblen Markdrähte mit Hilfe des Sets zur Entfernung gebrochener Schrauben entfernt werden können.Wenn die Frakturheilung nach intramedullären Osteosynthesen ausbleibt, besteht das Risiko des Implantatversagens.Tab 4. Komplikationen nach Implantatentfernung am Humerus.…”

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Implantatentfernung nach intramedullären Osteosynthesen

Krettek

Mommsen

2012

Unfallchirurg

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We present a literature review about implant removal after intramedullary stabilization of femoral or tibial shaft fractures, upper extremity fractures, and pediatric fractures. A special focus is the difficult implant removal. Implant removal of nails gets difficult when implants are bent or broken. Other difficulties include broken interfaces between nail and removal instrument or when bone ingrowth hinders extraction. A special difficulty is posed by broken solid nails. Implant failure shows typical failure patterns regarding the location of the fatigue fracture. Based on well-documented clinical cases, we describe in detail surgical techniques as well as tips and tricks which help in the difficult circumstances of bent or broken implants in proximal, midshaft, or distal nail segments for a large variety of implants (solid, cannulated, slotted). We also describe an elegant technique for the safe removal of an infected cemented arthrodesis nail. The time required to perform a nail removal can easily exceed the planned amount. Nail removal can result in significant complications like soft tissue damage, fractures, infections, and other problems. Not only because of these problems, the decision on whether or not to remove the nail should be made with great care. Therefore, good communication with the patient and thorough information about risks and benefits are essential.

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Implantatentfernung nach intramedullären Osteosynthesen

Krettek

Mommsen

2012

Unfallchirurg

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“…For this technique, availability of a cannulated reamer in the operating room is a prerequisite. Ferry and Dahners described the use of an extraction bolt from the Synthes screw removal set (Synthes 105.971, Paoli, PA, USA) [4]. The authors also described the use of hollow reamers from the screw removal set to overdrill the cut end of the nail.…”

Section: Discussionmentioning

confidence: 99%

“…A few strategies have been described in the literature for the removal of the elastic intramedullary nail. These techniques include the use of a bone chisel around of tip of the nail [ 5 ], the use of a hollow reamer and [ 6 ], and the use of a broken screw removal device [ 4 ]. Lascombes has described the use of the chisel followed by pliers [ 5 ].…”

Section: Discussionmentioning

confidence: 99%

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A Novel Technique for the Removal of Elastic Intramedullary Nail in Pediatric Long Bones: A Technical Note

Gautam

Ranade

Mone

et al. 2020

Cureus

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Elastic stable intramedullary nails have been commonly used to treat unstable long bone fractures in children. The nail tip at the insertion site can cause problems. The nail tip should be of optimal length as a prominent nail tip or a short nail tip, or both, may cause different sets of problems. If the nail tip is short, nail removal after fracture union can be difficult and may pose challenges. A short nail tip may lead to difficulty in nail removal, longer duration of surgery, and need for special equipment for extracting the nail. Few techniques have been suggested in the past for removing elastic nail with the short tip, but all these techniques need special instruments. We describe a surgical technique using a metallic suction cannula to aid elastic nail removal. This method utilizes an easily available instrument in the operating room and does not need any special equipment.

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“…372 Similarly, administration of licofelone to rats showed drastic decreases in the levels of inflammatory 5-Lox, Cox-1, and Cox-2 enzymes resulting in improved mechanical properties (load, stress, and stiffness; P < 0.05), compared to controls. 373 Conversely, several antibiotics and NSAIDs such as fluoroquinolone, 374 methylprednisolone, 375 betamethasone, 375 meloxicam, 376 celecoxib, 377 valdexicob, 377 and piroxicam, 377 acetaminophen, 377 have shown detrimental effects in varying degrees at normal dosages to healing tissue, resulting in suboptimal structural characteristics and biomechanics in the rotator cuff tendon. These studies thus suggest the need for careful selection and timing of drug administration for mitigating any detrimental effects of pharmacologic agents on the healing of rotator cuff tissue.…”

Section: Small Molecules and Pharmacologic Agentsmentioning

confidence: 99%

Regenerative Engineering of the Rotator Cuff of the Shoulder

Narayanan

Nair

Laurencin

2018

ACS Biomater. Sci. Eng.

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Rotator cuff tears often heal poorly, leading to re-tears after repair. This is in part attributed to the low proliferative ability of the resident cells (tendon fibroblasts and tendon-stem cells) upon injury to the rotator cuff tissue and the low vascularity of the tendon insertion. In addition, surgical outcomes of current techniques used in clinical settings are often suboptimal, leading to the formation of neo-tissue with poor biomechanics and structural characteristics, which results in re-tears. This has prompted interest in a new approach, which we term as "Regenerative Engineering", for regenerating rotator cuff tendons. In the Regenerative Engineering paradigm, roles played by stem cells, scaffolds, growth factors/small molecules, the use of local physical forces, and morphogenesis interplayed with clinical surgery techniques may synchronously act, leading to synergistic effects and resulting in successful tissue regeneration. In this regard, various cell sources such as tendon fibroblasts and adult tissue-derived stem cells have been isolated, characterized, and investigated for regenerating rotator cuff tendons. Likewise, numerous scaffolds with varying architecture, geometry, and mechanical characteristics of biologic and synthetic origin have been developed. Furthermore, these scaffolds have been also fabricated with *

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Flexible Intramedullary Nail Removal Using a Broken Screw Removal Set

Cited by 6 publications

References 4 publications

Implantatentfernung nach intramedullären Osteosynthesen

Implantatentfernung nach intramedullären Osteosynthesen

A Novel Technique for the Removal of Elastic Intramedullary Nail in Pediatric Long Bones: A Technical Note

Regenerative Engineering of the Rotator Cuff of the Shoulder

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