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Fractures: Bone Repair

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"Preventing nail migration by stack nailing in forearm fractures" - A technical note.

Yogesh Sharad Salphale¹, Aman Tomar², Vikrant G Salphale¹

¹Shushrusha Multispecialty Hospital, Chandrapur, (Maharashtra), India.

Trauma Case Reports

|April 15, 2024

Summary

Open reduction and plate fixation is standard for diaphyseal forearm fractures, but carries risks. This case highlights intramedullary (IM) nail migration in an ulnar fracture before consolidation, an issue requiring attention.

Keywords:

Forearm fractures Forearm nail Intramedullary nailing Nail migration Stack nailing

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Surgical Fixation of Sternal Fractures: Preoperative Planning and a Safe Surgical Technique Using Locked Titanium Plates and Depth Limited Drilling

Surgical Fixation of Sternal Fractures: Preoperative Planning and a Safe Surgical Technique Using Locked Titanium Plates and Depth Limited Drilling

Published on: January 5, 2015

Area of Science:

Orthopedic Surgery
Traumatology

Background:

Diaphyseal forearm fractures are commonly managed with open reduction and plate fixation.
While effective, this method carries risks such as infection, nonunion, and delayed union.
Intramedullary nailing is an alternative, but nail migration is a recognized complication, particularly in ulnar fractures.

Observation:

A case of intramedullary (IM) nail migration in an ulnar fracture is presented.
The migration occurred before the fracture had fully consolidated.
This complication has not been extensively addressed in existing literature.

Findings:

The described case involves a specific instance of IM nail migration in the ulna.
The study focuses on the management and implications of this complication.
The presented procedure for addressing the migration is brief and yields positive outcomes.

Implications:

Highlights the potential complication of IM nail migration in diaphyseal ulnar fractures.
Suggests a need for increased awareness and potentially modified techniques for IM nailing in the forearm.
Emphasizes the importance of monitoring for and managing implant-related issues before fracture consolidation for optimal patient results.