Application of Self-Made Connection Device in Intractable Intramedullary Device. Issue 2 (March 2020)

• Record Type: Journal Article
• Authors: Lei, Pengfei; Cui, Juncheng; Wang, Wu; Liu, Hao; Luo, Zhenhua; Yang, Xucheng
• Is Part Of: Journal of craniofacial surgery. Volume 31:Issue 2(2020)
• Publication Date: 2020-03
• Subjects: Internal fixation -- intramedullary fixation -- self-made connecting device; Facial bones -- Surgery -- Periodicals; Skull -- Surgery -- Periodicals; Face -- Surgery -- Periodicals; Surgery, Plastic -- Periodicals; 617.52
• DOI: 10.1097/SCS.0000000000006113
• Languages: English
• ISSNs: 1049-2275

Abstract

Abstract : Background: Intramedullary fixation a standard surgical technique for long bone meta/diaphyseal fractures. There were many difficulties in removal of the intractable intramedullary device. The authors reported a new technique to remove the intractable intramedullary nail by using a self-made connecting device. Methods: The subject underwent removal of the intramedullary nail using a self-made connecting device, the core components of which were a caudal connecting rod and a sliding hammer in the common intramedullary nail removal device, and the auxiliary device was mainly a clinically commonly used Kirschner wire (K-wire; diameter 1.5–2.5 mm). In technical procedure, the key point was the connection between the k-wire and the intramedullary device, according to the specific conditions of the intramedullary device. Results: From 2012 to 2017, a total of 10 cases of intractable intramedullary devices were taken out using this self-made connection device, including 7 cases of tibial intramedullary nails, 1 case of femoral nail, and 1 case of tibial elastic nail. The technique provided satisfactory results, no infection or re-fracture occurred after the. Conclusion: The self-made connecting device may provide new technique for more surgeons in the face of intractable intramedullary device. Abstract : Supplemental Digital Content is available in the text