Episiotomy-assisted Incarcerated Femoral Nail Removal: Technical Note

INTRODUCTION: Incarceration of intramedullary nails can pose a significant challenge. There are many reported techniques of nail removal, but when these fail, it can be difficult to determine how to proceed. Here, it is shown that a proximal femoral episiotomy can be used with great effect. CASE REP...

Descripción completa

Detalles Bibliográficos
Autores principales: Beenfeldt, Davison, Johnson, Pierce, Watts, Chad, Shannon, Steven, Swanson, David, Althausen, Peter
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Indian Orthopaedic Research Group 2023
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10152952/
https://www.ncbi.nlm.nih.gov/pubmed/37143564
http://dx.doi.org/10.13107/jocr.2023.v13.i01.3520
Descripción
Sumario:INTRODUCTION: Incarceration of intramedullary nails can pose a significant challenge. There are many reported techniques of nail removal, but when these fail, it can be difficult to determine how to proceed. Here, it is shown that a proximal femoral episiotomy can be used with great effect. CASE REPORT: 64-year-old male developed hip arthritis. The patient had a solid antegrade femoral nail placed 22 years ago that required removal for a hip arthroplasty. A proximal femoral episiotomy-assisted approach was used with good results and patient outcome. CONCLUSION: There are several well described techniques to assist with incarcerated nail removal that all trauma surgeons should be familiar with. Proximal femoral episiotomy is a useful technique, every surgeon should have in their arsenal.

Ejemplares similares