'Extended tibia osteotomy': a technical tip for removal of incarcerated reamer with broken guide wire bead during tibia nailing and literature review. Issue 3 (8th March 2022)

• Record Type: Journal Article
• Authors: Vatsya, Pulak; Mittal, Samarth; Karpe, Aashraya; Trikha, Vivek
• Is Part Of: BMJ case reports. Volume 15:Issue 3(2022)
• Publication Date: 2022-03-08
• Subjects: trauma -- orthopaedics; Medicine -- Case studies -- Periodicals; 610.5
• DOI: 10.1136/bcr-2021-247812
• Languages: English
• ISSNs: 1757-790X

Abstract

Abstract : Intramedullary nailing has become a standard of care for tibia fractures. Reaming is an essential part of this technique due to its multiple advantages like a better fit and earlier union. In young bone, with a narrow cortical canal, incarceration and breakage of reamer is a possibility. This can be removed with a ball-tip guidewire. In our case, the broken incarcerated reamer was complicated by a broken ball-tip of the guidewire, leading us to invent a novel medial tibial osteotomy window for the reamer removal. This can be a handy tool for a stuck surgeon intraoperatively.