Removal of a broken nail using a guide wire and a screw

Removal of a Broken Cannulated Intramedullary Nail: Review of the Literature and a Case Report of a New Technique

“…The end of the ball-tipped guide wire can be bent to increase its chance to pull the piece of the broken nail [4]. Karladani described a technique in which he used one guide wire that was trapped in the canal using a 3.5 mm screw inserted through the locking hole [5]. …”

“…This method is useful in cases of narrow canals inside the nail that cannot accommodate two guide wires or hook and guide wire. Also due to this narrow canal, it was not possible to use “Karladani” technique [5] of a screw in the locking hole to get interference fit with the guide wire.…”

Exchange nailing and percutaneous bone grafting for management of aseptic non-union of the femur

“…In one patient the implant broke at the level of the distal locking screw, when the patient was doing quadriceps exercise in a static cycle. In this case, the broken distal part of the nail was removed by the technique reported by Kerdalani 5 . The proximal part of the nail was removed from the piriformis fossa.…”

Extraction of Misplaced Endcap during Tibia Intramedullary Nailing by 'Fish-Hook' Technique: Technical Note

“…These include making a bony window and impacting the nail, 1) using the guide wire, 2,3) the use of grasping sleeve, and jamming the nail with smaller diameter reamer. 4) The use of 'fish-hook' technique have also been described previously.…”