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
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).
Références
Schmidt AH, Finkemeier CG, Tornetta P. Treatment of closed tibial fractures. Instr Course Lect. 2003;52:607-22.
Bhandari M, Devereaux PJ, Mckee MD, Schemitsch EH. Compression plating versus intramedullary nailing of humeral shaft fractures-a meta-analysis. Acta Orthop. 2006;77(2):279-84.
Kurup H, Hossain M, Andrew JG. Dynamic compression plating versus locked intramedullary nailing for humeral shaft fractures in adults. Cochrane Database Syst.( (6):CD005959.
Berkes MB, Little MTM, Lorich DG. Complications of intramedullary nailing. In: Intramedullary Nailing. London: Springer London; 2015:85-94.
McChesney GR, Gurbani BN, Hagedorn JC. Extraction of a bent tibial nail after refracture: a case report. JBJS Case Connect. 2019;9(3):e0385.
Willems S, Greeven A. Humeral intramedullary nail bending following trauma: a case report. J Trauma Inj. 2023;65(1):36-69.
Aggerwal S, Soni A, Saini UC, Gahlot N. Removal of a bent tibial intramedullary nail: a rare case report and review of the literature. Chin J Traumatol. 2011;14(2):107-10.
Dhanda MS, Madan HS, Sharma SC, Ali N, Bhat A. Jumbo cutter for removal of A bent femoral interlocking nail: a cost effective method. J Clin Diagn Res JCDR. 2015;9(6):RD06-RD07.
Gupta RC, Gaur SC, Tiwari RC, Varma B, Gupta R. Treatment of un-united fractures of the shaft of the humerus with bent nail. Injury. 1985;16(4):276-80.
Heffernan MJ, Leclair W, Li X. Use of the F-tool for the removal of a bent intramedullary femoral nail with a sagittal plane deformity. Orthopedics. 2012;35(3).
Park J, Yang KH. Removal of a bent nail after refracture of the femoral shaft. Injury. 2012;43(7):1209-11.
Shen PC, Chen JC, Huang PJ, Lu CC, Tien YC, Cheng YM. A novel technique to remove bent intramedullary nail. J Trauma. 2011;70(3):755-8.
Suh YS, Lee WS, Ahn J, Choi HS, Baek MJ, Choi SW. Removal of bent intramedullary nail. Medicine. 2020;99(20):e19935.
LaSalle WB, Horwitz T. A method to cut and remove in situ bent intramedullary nail. Clin Orthop Relat Res. 1974;103:30-1.
Patterson RH, Ramser JR. Technique for treatment of a bent Russell-Taylor femoral nail. J Orthop Trauma. 1991;5(4):506-8.
Burzynski N, Scheid DK. A modified technique for removing a bent intramedullary nail minimizing bone and soft tissue dissection. J Orthop Trauma. 1994;8(2):181-2.
Yip KMH, Leung KS. Treatment of deformed tibial intramedullary nail: report of two cases. J Orthop Trauma. 1996;10(8):580-3.
Maleh AAF, Nielsen KS. How to remove a bent intramedullary nail: a technical note. Acta Orthop Scand. 1998;69(6):638-9.
Nicholson P, Rice J, Curtin J. Management of a refracture of the femoral shaft with a bent intramedullary nail in situ. Injury. 1998;29(5):393-4.
Apivatthakakul T, Chiewchantanakit S. Percutaneous removal of a bent intramedullary nail. Injury. 2001;32(9):725-6.
Ohtsuka H, Yokoyama K, Tonegawa M, Higashi K, Itoman M. Technique for removing a bent intramedullary femoral nail: a case report. J Orthop Trauma. 2001;15(4):299-301.
Koçkesen TC, Tezer M, Tekkeşin M, Kuzgun U. Traumatic femoral diaphyseal fracture and a bent intramedullary nail in a case with a completely healed femoral diaphyseal fracture. Acta Orthop Traumatol Turc. 2002;36(2):177-80.
Kelsch G, Kelsch R, Ulrich C. Unreamed tibia nail (UTN) bending: case report and problem solution. Arch Orthop Trauma Surg. 2003;123(10):558-62.
Nicolaides V, Polyzois V, Tzoutzopoulos A, Stavlas P, Grivas TB, Korres D. Bent femoral intramedullary nails: a report of two cases with need for urgent removal. Eur J Orthop Surg Traumatol Orthopedie Traumatol. 2004;14(3):188-91.
Singh R, Sharma AK, Kiranpreet. An innovative technique to cut and extract loose bent Kuntscher nail. Indian J Med Sci. 2004;58(10):439-41.
Sonanis SV, Lampard AL, Kamat N, Shaikh MR, Beard DJ. A simple technique to remove a bent femoral intramedullary nail and broken interlocking screw. J Trauma. 2007;63(2):435-8.
Bek D, Demiralp B, Tunay S, Sehirlioğlu A, Ateşalp AS. Removal of a bent inflatable femoral nail: a case report. Acta Orthop Traumatol Turc. 2008;42:211-3.
Banerjee R, Posner M. Removal of a bent intramedullary nail with a posttraumatic sagittal plane deformity. J Trauma. 2009;66(5):1500-3.
Biert J, Edwards MJR. Re: removal of a bent intramedullary nail with a posttraumatic sagittal plane deformity. J Trauma. 2009;67(5):1132-3.
Bissonnette G, Laflamme GY, Alami GB, Rouleau D. Management of a bent femoral intramedullary nail associated with an ipsilateral femoral neck fracture—a case report. J Trauma. 2009;67(2):E41-3.
Stahel PF, Flierl MA, Morgan SJ, Smith WR. Management of a trochanteric fracture complicated by a bent solid intramedullary femoral nail in situ: description of technique. J Orthop Trauma. 2010;24(3):e25-30.
Sakellariou VI, Kyriakopoulos S, Kotoulas H, Sofianos IP. Bent intramedullary femoral nail: surgical technique of removal and reconstruction. Case Rep Orthop. 2011;2011:614509-4.
Wierer M, Biberthaler P, Mutschler W, Grote S. Verbogener intramedullärer Tibiamarknagel nach erneutem Trauma. Unfallchirurg. 2011;114(7):629-33.
Kritsaneephaiboon A, Tangtrakulwanich B, Maliwankul K. A novel minimally invasive technique for removal of a bent femoral intramedullary nail. Inj Extra. 2012;43(12):157-62.
Canton G, Giraldi G, Dussi M, Ratti C, Murena L. Osteoporotic distal femur fractures in the elderly: peculiarities and treatment strategies. Acta Bio-Medica. 2019;90(12-S):25-32.
Neimpoog S, Arunakul R. A simple new technique to remove a bent kuntscher nail. Siriaj Med J. 2006;60(5):267-9.
Sa'aid SH, Bajuri MY, Dzeidee-Schaff FN, Abdul-Suki MH. Removing a bent femoral intramedullary nail cost effectively: a case report. Malays Orthop J. 2021;15(2):163-5.
Shamrock A, Leary S, Kohler J, Karam M, Carender C, DeMik D, Nepola J. In situ straightening of a bent tibiofemoral intramedullary nail: case report and review of the literature. Iowa Orthop J. 2021;41(1):167-70.
Pathak SK, Gautam RK, Anjum R, Sharma A. Bent tibial nail with refracture: a cost-effective removal method: a case report. JBJS Case Connect. 2020;10(2):e19.00542.
Kose O, Guler F, Kilicaslan OF, May H, Yuksel HY. Removal of a bent intramedullary nail in lower extremity: report of two cases and review of removal techniques. Arch Orthop Trauma Surg. 2016;136(2):195-202.