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Updated: Mar 13, 2026

Treatment with Locking Intramedullary Nailing for Intertrochanteric Fracture of the Femur Utilizing a New Awl with a Distal Positioner
Published on: June 6, 2025
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.
Abstract:
Intramedullary tibial fixation is a commonly used and highly successfully treatment in acute fractures, nonunion settings, and correctional procedures. In the setting of a nonunion, removal of a failed implant can add to operative time and surgeon frustration while further compromising bone in an area already at risk for failure. Here we present a technique, using readily accessible equipment, for removing a distal solid tibial nail fragment in a manner that preserves bone.
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