Concomitant bent and broken intramedullary nail in the femoral fracture: A case report and review of literature
Background: Bent or broken intramedullary nail in femoral fracture fixation is a rare complication but challenging. The purpose of this paper is to present the combination of these rare situation and review the literature to manage this challenging problem. Case: A 23-year-old male who sustained lef...
| Main Authors: | , , |
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| Format: | Article |
| Language: | English |
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Elsevier
2022-09-01
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| Series: | Journal of Orthopaedic Reports |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2773157X22000625 |
| _version_ | 1818026598312443904 |
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| author | Pongsakorn Rungchamrussopa Chittawee Jiamton Theerachai Apivatthakakul |
| author_facet | Pongsakorn Rungchamrussopa Chittawee Jiamton Theerachai Apivatthakakul |
| author_sort | Pongsakorn Rungchamrussopa |
| collection | DOAJ |
| description | Background: Bent or broken intramedullary nail in femoral fracture fixation is a rare complication but challenging. The purpose of this paper is to present the combination of these rare situation and review the literature to manage this challenging problem. Case: A 23-year-old male who sustained left femur fracture from motorcycle accident. He was treated with closed reduction internal fixation with intramedullary nail. He presented with hypertrophic nonunion with post-traumatic sagittal plane deformity. The nail was concomitant broken at the distal screw hole and bent at the proximal part. The patient was operated to remove the broken and bent nail and osteotomy for deformity correction. Conclusion: Our case demonstration pointed out the consequence of untreated complication of intramedullary fixation in femoral fracture resulting in complex situation. We reported the concomitant bent and broken nail with sagittal plane deformity with excellent outcome after surgical correction. This report also reviewed the armamentarium to manage both bent and broken intramedullary nail. There is no one option fits all solution. It is utmost importance to understand the principle and techniques for encountered any unexpected situation. |
| first_indexed | 2024-12-10T04:34:33Z |
| format | Article |
| id | doaj.art-d26b43369f7a4363b249ed3dd638769b |
| institution | Directory Open Access Journal |
| issn | 2773-157X |
| language | English |
| last_indexed | 2024-12-10T04:34:33Z |
| publishDate | 2022-09-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Journal of Orthopaedic Reports |
| spelling | doaj.art-d26b43369f7a4363b249ed3dd638769b2022-12-22T02:02:02ZengElsevierJournal of Orthopaedic Reports2773-157X2022-09-0113100056Concomitant bent and broken intramedullary nail in the femoral fracture: A case report and review of literaturePongsakorn Rungchamrussopa0Chittawee Jiamton1Theerachai Apivatthakakul2Institute of Orthopaedics, Lerdsin Hospital, Bangkok, Thailand; Department of Orthopaedic Surgery, College of Medicine, Rangsit University, ThailandInstitute of Orthopaedics, Lerdsin Hospital, Bangkok, Thailand; Department of Orthopaedic Surgery, College of Medicine, Rangsit University, Thailand; Corresponding author. Institute of Orthopaedics, Lerdsin General Hospital, Department of Medical Services, 190 Silom Road, Bangrak, Bangkok, 10500, Thailand.Department of Orthopaedic Surgery, Chiang Mai University, Chiang Mai, ThailandBackground: Bent or broken intramedullary nail in femoral fracture fixation is a rare complication but challenging. The purpose of this paper is to present the combination of these rare situation and review the literature to manage this challenging problem. Case: A 23-year-old male who sustained left femur fracture from motorcycle accident. He was treated with closed reduction internal fixation with intramedullary nail. He presented with hypertrophic nonunion with post-traumatic sagittal plane deformity. The nail was concomitant broken at the distal screw hole and bent at the proximal part. The patient was operated to remove the broken and bent nail and osteotomy for deformity correction. Conclusion: Our case demonstration pointed out the consequence of untreated complication of intramedullary fixation in femoral fracture resulting in complex situation. We reported the concomitant bent and broken nail with sagittal plane deformity with excellent outcome after surgical correction. This report also reviewed the armamentarium to manage both bent and broken intramedullary nail. There is no one option fits all solution. It is utmost importance to understand the principle and techniques for encountered any unexpected situation.http://www.sciencedirect.com/science/article/pii/S2773157X22000625Bent nailBroken nailRemovalCase report |
| spellingShingle | Pongsakorn Rungchamrussopa Chittawee Jiamton Theerachai Apivatthakakul Concomitant bent and broken intramedullary nail in the femoral fracture: A case report and review of literature Journal of Orthopaedic Reports Bent nail Broken nail Removal Case report |
| title | Concomitant bent and broken intramedullary nail in the femoral fracture: A case report and review of literature |
| title_full | Concomitant bent and broken intramedullary nail in the femoral fracture: A case report and review of literature |
| title_fullStr | Concomitant bent and broken intramedullary nail in the femoral fracture: A case report and review of literature |
| title_full_unstemmed | Concomitant bent and broken intramedullary nail in the femoral fracture: A case report and review of literature |
| title_short | Concomitant bent and broken intramedullary nail in the femoral fracture: A case report and review of literature |
| title_sort | concomitant bent and broken intramedullary nail in the femoral fracture a case report and review of literature |
| topic | Bent nail Broken nail Removal Case report |
| url | http://www.sciencedirect.com/science/article/pii/S2773157X22000625 |
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