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Application of Self-Made Connection Device in Intractable Intramedullary Device
Pengfei Lei1, Juncheng Cui2, Wu Wang1,3
1Department of Orthopedics, Xiangya Hospital of Central South University, Changsha.
The Journal of Craniofacial Surgery
|January 25, 2020
Summary
A novel self-made connecting device offers a new surgical technique for removing difficult intramedullary nails. This method successfully extracted 10 intractable devices without complications, aiding surgeons in challenging cases.
Area of Science:
- Orthopedic Surgery
- Biomedical Engineering
Background:
- Intramedullary fixation is a standard technique for long bone fractures.
- Removal of intractable intramedullary devices presents significant surgical challenges.
Purpose of the Study:
- To report a novel technique for removing intractable intramedullary nails using a self-made connecting device.
Main Methods:
- A self-made connecting device, incorporating a caudal connecting rod and sliding hammer, was utilized.
- A Kirschner wire (K-wire) served as the primary auxiliary component for device connection.
Main Results:
- The technique was applied to 10 cases of intractable intramedullary devices between 2012 and 2017.
- Cases included tibial nails (7), femoral nails (1), and tibial elastic nails (1).
- Satisfactory results were achieved with no reported infections or re-fractures.
Conclusions:
- The developed self-made connecting device presents a viable new technique for managing intractable intramedullary devices.
- This method offers a potential solution for surgeons facing difficulties in intramedullary nail removal.

