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Removal of a grossly deformed nail can be a serious and perplexing problem. We report an innovative technique to cut and extract a loose bent Kuntscher nail. The technique is simple and effective; can be used in peripheral hospitals where advanced gadgetries may not be present.
An innovative technique to cut...

PURPOSE: To study clinical and mechanical factors that predispose to failure of interlocking nails. METHODS: Between October 1996 and December 2002, 286 femoral fractures, 211 tibial fractures, and 47 humeral fractures were repaired using variously designed interlocking nails. Fracture pattern, level and site, nail size and type, weight bearing after...

An 80-year-old man sustained a closed displaced comminuted subtrochanteric fracture in a fall accident. The fracture was stabilized with a Long Gamma locking nail (Stryker Trauma, Schnkirchen, Germany). Postoperative radiographs showed good placement of the nail and acceptable fracture alignment, but also significant bone loss beneath the calcar. Postoperatively, the...

Intramedullary nails are commonly used for internal fixation of long-bone fractures. When locking screws are used, both drill bits and screws may break at the time of insertion. Screws may also fail in situ, especially in the case of delayed or non-union. Both cause a problem should the nail require...