Journal of Current Research in Scientific Medicine

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


SM Shishir, Pascal Noel Deniese, R Kanagasabai, Syed Najimudeen, James J Gnanadoss 
 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

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.


How to cite this article:
Shishir S M, Deniese PN, Kanagasabai R, Najimudeen S, Gnanadoss JJ. A worthwhile attempt to remove a bent intra-medullary femoral nail before attempting extensive procedures.J Curr Res Sci Med 2015;1:44-48


How to cite this URL:
Shishir S M, Deniese PN, Kanagasabai R, Najimudeen S, Gnanadoss JJ. A worthwhile attempt to remove a bent intra-medullary femoral nail before attempting extensive procedures. J Curr Res Sci Med [serial online] 2015 [cited 2020 Sep 21 ];1:44-48
Available from: http://www.jcrsmed.org/article.asp?issn=2455-3069;year=2015;volume=1;issue=1;spage=44;epage=48;aulast=Shishir;type=0