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A Modified Levering Technique for Removing a Broken Solid Intramedullary Tibial Nail: A Technical Tip.
W Michael Pullen, Nicholas J Erdle, Colin Crickard
1Division of Trauma Surgery, Department of Orthopaedic Surgery, Naval Medical Center Portsmouth, Portsmouth, VA.chriss199@yahoo.com.
This study presents a simple technique for removing broken distal tibial nails. The method uses common equipment to preserve bone during revision surgery for tibial nonunion.
Area of Science:
- Orthopedic Surgery
- Biomedical Engineering
Background:
- Intramedullary tibial fixation is a standard treatment for fractures and nonunions.
- Failed implants in tibial nonunion cases complicate revision surgery, increasing operative time and bone compromise.
Observation:
- Removal of fractured distal tibial nail fragments can be challenging.
- Existing methods may not adequately preserve bone stock in compromised areas.
Findings:
- A novel technique using readily accessible equipment is described for removing distal solid tibial nail fragments.
- This technique aims to minimize further bone damage during revision surgery.
Implications:
- This method offers a practical solution for surgeons dealing with fractured tibial nails.
- Bone preservation during revision surgery is crucial for successful patient outcomes.
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