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Updated: Nov 8, 2025
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Alternative Use of the Ilizarov Apparatus Set in Case of Complications During Intramedullary Nail Removal: A Case
Emiliano Malagoli1, Alexander Kirienko1, Marco Luigi Maria Berlusconi1
1Trauma Center, Humanitas Clinical and Research Center-IRCCS, Rozzano, Milan, Italy.
Case:
We present 2 case reports: the first, a diaphyseal fracture of the humerus treated with a Marchetti nail resulting in a nonunion in 2017. The second, a fracture of the femur treated with a Kuntscher nail in 1989. A gunshot injury to that femur in 2014 evolved in nonunion and displacement. In both cases, the old nails were removed by using pieces of the Ilizarov apparatus.
Conclusions:
In case of complications, the versatility of the Ilizarov apparatus allows us to connect the intramedullary element to the universal extraction system; it proves itself to be an excellent cost-effective extraction system.
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