A Simple New Technique to Remove a Bent Kuntscher Nail

Authors

  • Sunyarn Neimpoog Department of Orthopedic Surgery, Faculty of Medicine, Thammasat University
  • Rattalerk Arunakul Department of Orthopedic Surgery, Faculty of Medicine, Thammasat University

Keywords:

Bent intramedullary femoral nail, removal technique, increase deformity, nail extraction

Abstract

We present our technique to remove a bent intramedullary femoral nail in a 26 year-old man admitted with an abnormally angulated right thigh within 3 days. His right femoral shaft was broken by a traffic accident 2 months ago. This fracture was treated with a Kuntscher nail fixation by the open method.

For the operative techniques, the fracture site was exposed using a previous incision at the lateral thigh. After dissecting soft tissue and periosteum from the fracture site, we increased the varus deformity of the femur including the nail inside the medullary canal until the nail formed the “V shape†and extracted the nail simultaneously. A limited corticotomy was conducted to allow more space for the nail to escape. After removal of the bent nail, the fracture was stabilized with a 12×360 mm. static interlocking nail (Grosse-Kempf).

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Published

01-09-2008

How to Cite

Neimpoog, S. ., & Arunakul, R. . (2008). A Simple New Technique to Remove a Bent Kuntscher Nail. Siriraj Medical Journal, 60(5), 267–269. Retrieved from https://he02.tci-thaijo.org/index.php/sirirajmedj/article/view/246487

Issue

Vol. 60 No. 5 (2008): Sep-Oct

Section

Case Report

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