Reverse cutting guidewire for intramedullary nailing: A solution for a common yet undocumented and unresolved complication
Autor: | Filon Agathangelidis, Dimitrios Karataglis, Achilleas Boutsiadis, Georgios Petsatodis |
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Rok vydání: | 2013 |
Předmět: |
medicine.medical_specialty
Long bone Bone Nails Implant removal law.invention Intramedullary rod law medicine Humans Tibial fracture Device Removal General Environmental Science integumentary system business.industry Fracture Fixation Intramedullary Surgery Solutions Tibial Fractures Treatment Outcome medicine.anatomical_structure Nail (anatomy) General Earth and Planetary Sciences Implant business Complication Femoral Fractures |
Zdroj: | Injury. 44:1140-1142 |
ISSN: | 0020-1383 |
DOI: | 10.1016/j.injury.2013.04.002 |
Popis: | In 6 of the 81 patients who were treated with intramedullary nailing for a femoral or tibial fracture the ball-tipped guidewire was impossible to remove manually after nail implantation. In four cases we had to remove the implant and to re-insert the nail. While this is a relatively common complication well known to orthopaedic and trauma surgeons, it has not been previously reported. We developed and tested in vitro a reverse cutting guidewire that was able to successfully deal with this problem obviating the need for implant removal and re-insertion. |
Databáze: | OpenAIRE |
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