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Removing a Bent Femoral Intramedullary Nail Cost Effectively: A Case Report
S H Sa'aid1, M Y Bajuri1, F N Dzeidee-Schaff1
1Department of Orthopaedic and Traumatology, Universiti Kebangsaan Malaysia, Kuala Lumpur, Malaysia.
Malaysian Orthopaedic Journal
|August 25, 2021
Summary
Removing a bent intramedullary (IM) nail, often requiring breakage, can be challenging. This report details a simple, economical technique using a Jumbo cutter to bisect and extract bent IM nails, minimizing complications.
Area of Science:
- Orthopaedic Surgery
- Biomedical Engineering
Background:
- Intramedullary (IM) nail extraction is technically demanding when the nail is bent, unlike a fractured nail.
- Existing literature lacks standardized, cost-effective protocols for removing bent IM nails.
Observation:
- A patient presented with a bent IM nail in the right femur two years post-surgery due to secondary trauma.
- A novel technique was employed utilizing a Jumbo cutter to fracture the bent IM nail into two segments for removal.
Findings:
- The Jumbo cutter technique successfully facilitated the extraction of the bent IM nail.
- This method proved to be simple, economical, and potentially reduces soft tissue damage and thermal necrosis.
Implications:
- This technique offers a practical and affordable solution for a common orthopaedic challenge.
- Further studies could validate this approach as a standard protocol for bent IM nail removal.
