Removal of broken reamer stuck into femoral shaft in implanting PFNA: a case report

Abstract

Femoral intertrochanteric fracture is very common in elderly population. The usual treatment for these patients is intra-extramedullary fixation. In normal situations, expand medullary cavity is needed, in order to implant various intramedullary implants. On rare occasion, which will in turn lead to the reamer is stuck into the medullary cavity of femoral shaft. Open or closed technique for moving of the broken nails had been reported before. We firstly report a novel technique by using handy tool which included in orthopaedic instrument set to remove the broken reamer stuck into femoral cavity when implanting a PFNA.

‘Extended tibia osteotomy’: a technical tip for removal of incarcerated reamer with broken guide wire bead during tibia nailing and literature review

“…The authors took out the guide wire and decided to create a 2×0.4 cm long window with an osteotome and removed the reamer head with a bone detacher. A small window creation was advocated by the authors in cases where the reamer head gets stuck and there are no other way of removal 13. Our approach of a medial cortical window was similar to the bone window created by Jiang et al except the fact that it was used in tibia.…”

“…Breaking and incarceration of reamers intraoperatively is not an unknown complication to orthopaedicians. There is a plethora of case reports and techniques aimed at describing removal of such broken reamers in literature12–14 (table 1). Rijal et al described a case where they had used a laparoscopic grasper to get a hold of the broken part of reamer inside femoral medullary canal 12.…”

Gold(I)‐Catalyzed Cycloisomerization of 3‐Alkoxyl‐1,6‐diynes: A Facile Access to Bicyclo[2.2.1]hept‐5‐en‐2‐ones

“…The bicyclo[2.2.1]heptane skeleton is found in a wide range of natural products and pharmaceuticals such as camphor, sordarin, SPK 601, and AMG 221 (Figure ). Consequently, considerable efforts have been devoted to the development of effective approaches for their synthesis .…”

Gold(I)‐katalysierte Cycloisomerisierung von 3‐Alkoxy‐1,6‐diinen: ein einfacher Zugang zu Bicyclo[2.2.1]hept‐5‐en‐2‐onen

“…Das Bicyclo[2.2.1]heptan‐Grundgerüst findet sich in einer breiten Palette von Naturstoffen und Pharmazeutika, wie Campher, Sordarin, SPK 601, und AMG 221 (Abbildung ). Daher wurde viel Aufwand betrieben, effiziente Wege für ihre Synthese zu entwickeln .…”