Removal of a femoral nail with osseous overgrowth at the end-cap: A navigated and cannulated minimally invasive technique. (January 2013)

• Record Type: Journal Article
• Authors: Marintschev, Ivan; Rausch, Sascha; Fujak, Albert; Klos, Kajetan; Hofmann, Gunther O.; Gras, Florian
• Is Part Of: Computer aided surgery. Volume 18:Number 1/2(2013:Jan.)
• Page Start: 41
• Page End: 46
• Publication Date: 2013-01
• Subjects: Computer-assisted surgery -- Periodicals; Imaging systems in medicine -- Periodicals; Surgery, Operative -- Computer simulation -- Periodicals; Surgical technology -- Periodicals; Medical technology -- Periodicals; 617.90285
• DOI: 10.3109/10929088.2012.741623
• Languages: English
• ISSNs: 1092-9088

Abstract

<abstract> <title> <x xml:space="preserve">Abstract</x> </title> <p>Intramedullary nail removal can be demanding, especially in cases of implant breakage or bony overgrowth at the end-cap, if the exact insertion depth of the nail is neglected in the index surgery. In the presented case, two challenging nail removals were necessary. The first was performed in a re-nailing procedure due to a pseudarthrosis with implant breakage, and the second was performed during hardware removal after fracture healing in a situation where there was deep intramedullary placement of the exchange nail. For the second implant removal a minimally invasive approach based on instrument placements over a navigated guide-wire was used to reduce the iatrogenic morbidity associated with an extensive open approach to the nail and to decrease the radiation exposure for the patient and the operating team.</p> </abstract>