“Whoa! It's like Spotify but for academic articles.”

Instant Access to Thousands of Journals for just $40/month

Get 2 Weeks Free

Removal of a Broken Solid Femoral Nail: a Simple Push-out Technique. A Case Report

<h2>Introduction</h2> An intramedullary nail subjected to cyclical loading will fatigue if stresses on the nail exceed its endurance limit. The factors that influence failure of the nail are the stability of the fracture, a non-union or delayed union, and the rehabilitation program 2 , 3 , 14 , 16 . The methods to remove the distal fragment of a broken hollow nail rely on the passing of hooks or screws down the center of the nail 1 , 8 , 10 , 15 . For a solid nail, this technique is not possible. We describe a technique for the removal of the distal segment of a broken solid femoral nail. <h2>Case Report</h2> A twenty-four-year-old man sustained a closed fracture of the left femur, just distal to the isthmus, in a high-velocity motor-vehicle accident. The fracture was classified as B3 according to the AO system 11 and as C2 according to the system of Tscherne and Oestern ( Fig. 1-A ). Other injuries included cerebral contusions, fractures of the right femoral condyle and the right tibial plateau, and dislocations of the right elbow and the right carpometacarpal joint. After initial resuscitation, the left femoral fracture was stabilized with a http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Journal of Bone and Joint Surgery JB&JS

Loading next page...

You're reading a free preview. Subscribe to read the entire article.

And millions more from thousands of peer-reviewed journals, for just $40/month

Get 2 Weeks Free

To be the best researcher, you need access to the best research

  • With DeepDyve, you can stop worrying about how much articles cost, or if it's too much hassle to order — it's all at your fingertips. Your research is important and deserves the top content.
  • Read from thousands of the leading scholarly journals from Springer, Elsevier, Nature, IEEE, Wiley-Blackwell and more.
  • All the latest content is available, no embargo periods.