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CASE REPORT
Year : 2015  |  Volume : 1  |  Issue : 1  |  Page : 44-48

A worthwhile attempt to remove a bent intra-medullary femoral nail before attempting extensive procedures


Department of Orthopaedics, Pondicherry Institute of Medical Sciences, Puducherry, India

Correspondence Address:
S M Shishir
Department of Orthopaedics, Pondicherry Institute of Medical Sciences, Puducherry - 605 014
India
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Source of Support: None, Conflict of Interest: None


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Extraction of the broken/bent nail will be needed in the revision surgery in cases where the fracture is ununited. A broken nail can be removed easily through the fracture site. However, there is no standard protocol that exists in the literature for extraction of a bent nail. We report a case of 5 weeks postoperative bent intra-medullary (IM) interlocking femoral nail in a 33-year-old male who had undergone nailing for femoral shaft fracture, due to a trivial fall during rehabilitation. A radiograph of the affected limb revealed that the IM nail was bent to 30° with a varus deformity. The fracture was still uniting. The nail was unbent after anesthesia and exchange nailing was carried out. A closed manipulation should be attempted prior to any surgical procedure, in order to prevent damage to soft tissue, bone and avoid complications that may arise due to extensive surgery.


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