Removal of a Bent Humeral Intramedullary Nail-Reference-Cited by-同舟云学术

Removal of a Bent Humeral Intramedullary Nail

Published:2023 Issue:4 Volume:13 Page:
ISSN:2160-3251
Container-title:JBJS Case Connector
language:en
Short-container-title:

Author:

van Oyen D.W.¹²^ORCID,Kernkamp W.A.¹,van Molenbroek G.¹^ORCID,Jakma T.¹,Bosman W.M.P.F.¹^ORCID

Affiliation:

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

2. Department of Surgery, Noordwest Hospital, Wilhelminalaan, Alkmaar, the Netherlands

Abstract

Case: 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. Conclusion: 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.

Publisher

Ovid Technologies (Wolters Kluwer Health)

Subject

Orthopedics and Sports Medicine,Surgery

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