The Use of Blocking Wires in Fibular Intramedullary Nailing of an Ankle Fracture with Hardware Failure: A Case Report

A 24-year-old male, with a body mass index (BMI) of 31.7 and a previous open reduction and internal fixation (ORIF) of the left ankle seven years ago, presented to the emergency department with a peri-implant, comminuted fibula fracture with broken hardware and syndesmotic injury. The nature of the...

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Detalles Bibliográficos
Autores principales: Acevedo, Daniel, Rizzo, Michael G, Constantinescu, David, Heng, Marilyn
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Cureus 2023
Materias:
Orthopedics
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10676240/
https://www.ncbi.nlm.nih.gov/pubmed/38022253
http://dx.doi.org/10.7759/cureus.47737
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author Acevedo, Daniel
Rizzo, Michael G
Constantinescu, David
Heng, Marilyn
author_facet Acevedo, Daniel
Rizzo, Michael G
Constantinescu, David
Heng, Marilyn
author_sort Acevedo, Daniel
collection PubMed
description A 24-year-old male, with a body mass index (BMI) of 31.7 and a previous open reduction and internal fixation (ORIF) of the left ankle seven years ago, presented to the emergency department with a peri-implant, comminuted fibula fracture with broken hardware and syndesmotic injury. The nature of the revision surgery made proper guidewire placement during fibular nailing difficult. Blocking wires assisted in ensuring proper guidewire placement. The patient was successfully managed with revision ORIF, fibular nailing, and syndesmotic fixation. Blocking wires are a helpful tool for achieving proper fracture alignment and stability during intramedullary nailing procedures and may be considered in fibular nailing situations.
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spelling pubmed-106762402023-10-26 The Use of Blocking Wires in Fibular Intramedullary Nailing of an Ankle Fracture with Hardware Failure: A Case Report Acevedo, Daniel Rizzo, Michael G Constantinescu, David Heng, Marilyn Cureus Orthopedics A 24-year-old male, with a body mass index (BMI) of 31.7 and a previous open reduction and internal fixation (ORIF) of the left ankle seven years ago, presented to the emergency department with a peri-implant, comminuted fibula fracture with broken hardware and syndesmotic injury. The nature of the revision surgery made proper guidewire placement during fibular nailing difficult. Blocking wires assisted in ensuring proper guidewire placement. The patient was successfully managed with revision ORIF, fibular nailing, and syndesmotic fixation. Blocking wires are a helpful tool for achieving proper fracture alignment and stability during intramedullary nailing procedures and may be considered in fibular nailing situations. Cureus 2023-10-26 /pmc/articles/PMC10676240/ /pubmed/38022253 http://dx.doi.org/10.7759/cureus.47737 Text en Copyright © 2023, Acevedo et al. https://creativecommons.org/licenses/by/3.0/This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
spellingShingle Orthopedics
Acevedo, Daniel
Rizzo, Michael G
Constantinescu, David
Heng, Marilyn
The Use of Blocking Wires in Fibular Intramedullary Nailing of an Ankle Fracture with Hardware Failure: A Case Report
title The Use of Blocking Wires in Fibular Intramedullary Nailing of an Ankle Fracture with Hardware Failure: A Case Report
title_full The Use of Blocking Wires in Fibular Intramedullary Nailing of an Ankle Fracture with Hardware Failure: A Case Report
title_fullStr The Use of Blocking Wires in Fibular Intramedullary Nailing of an Ankle Fracture with Hardware Failure: A Case Report
title_full_unstemmed The Use of Blocking Wires in Fibular Intramedullary Nailing of an Ankle Fracture with Hardware Failure: A Case Report
title_short The Use of Blocking Wires in Fibular Intramedullary Nailing of an Ankle Fracture with Hardware Failure: A Case Report
title_sort use of blocking wires in fibular intramedullary nailing of an ankle fracture with hardware failure: a case report
topic Orthopedics
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10676240/
https://www.ncbi.nlm.nih.gov/pubmed/38022253
http://dx.doi.org/10.7759/cureus.47737
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