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 |
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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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