Removal of a Bent Humeral Intramedullary Nail: A Case Report and Review of Removal Techniques.


Journal

JBJS case connector
ISSN: 2160-3251
Titre abrégé: JBJS Case Connect
Pays: United States
ID NLM: 101596828

Informations de publication

Date de publication:
01 10 2023
Historique:
medline: 30 10 2023
pubmed: 27 10 2023
entrez: 27 10 2023
Statut: epublish

Résumé

We present a case of a (65°) bent intramedullary nail (IMN) in a humerus after a pseudoarthrosis in a 65-year-old man. Bent IMNs have been described in femurs and tibias, but are considered rare. Possibly even rarer is the bending of a humeral IMN. This report provides an overview of removal techniques and our approach to this uncommon complication: open sectioning of the bent IMN and 2-piece extraction through the fracture site. Removal of a bent or broken IMN is a rare and challenging surgical problem. A bent humeral IMN requires a different and more careful approach for extraction than bent nails in the lower extremity, given the greater potential for neurovascular disruption.

Identifiants

pubmed: 37889993
doi: 10.2106/JBJS.CC.23.00048
pii: 01709767-202312000-00019
doi:

Types de publication

Case Reports Journal Article

Langues

eng

Sous-ensembles de citation

IM

Informations de copyright

Copyright © 2023 by The Journal of Bone and Joint Surgery, Incorporated.

Déclaration de conflit d'intérêts

Disclosure: The Disclosure of Potential Conflicts of Interest forms are provided with the online version of the article (http://links.lww.com/JBJSCC/C232).

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Auteurs

D W van Oyen (DW)

Department of Surgery, Albert Schweitzer Hospital, Albert Schweitzerplaats, Dordrecht, the Netherlands.
Department of Surgery, Noordwest Hospital, Wilhelminalaan, Alkmaar, the Netherlands.

W A Kernkamp (WA)

Department of Surgery, Albert Schweitzer Hospital, Albert Schweitzerplaats, Dordrecht, the Netherlands.

G van Molenbroek (G)

Department of Surgery, Albert Schweitzer Hospital, Albert Schweitzerplaats, Dordrecht, the Netherlands.

T Jakma (T)

Department of Surgery, Albert Schweitzer Hospital, Albert Schweitzerplaats, Dordrecht, the Netherlands.

W M P F Bosman (WMPF)

Department of Surgery, Albert Schweitzer Hospital, Albert Schweitzerplaats, Dordrecht, the Netherlands.

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