The reamer won't come out! An unusual complication of intramedullary nailing of femur fracture

Autor: Mohamed Jlidi, Walid Bouaicha, Chamekh Mohssen, Karim Mallek, Selim Daas
Jazyk: angličtina
Rok vydání: 2023
Předmět:
Zdroj: Journal of Orthopaedic Reports, Vol 2, Iss 4, Pp 100201- (2023)
Druh dokumentu: article
ISSN: 2773-157X
DOI: 10.1016/j.jorep.2023.100201
Popis: Introduction: Intramedullary nailing has become the gold standard in surgical treatment for long bones shaft fractures. Even in expert hands, many intraoperative complications may occur. Clinical case: We report an unusual complication of trapped bone fragments between the reamer and the cortex during intramedullary nailing of a simple femur shaft fracture. All Attempts to withdraw the reamer were unsuccessful. The fragment had to be removed through an open incision.This complication was probably caused by a migrated chip of cortical bone fragment from the inner cortex which caused incarceration of the reamer. Conclusion: If a loose intramedullary fragment is noted during reaming or nailing, it must absolutely not be ignored.
Databáze: Directory of Open Access Journals
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