Intramedullary cortical fragments: Recognition and techniques to permit safe nailing

William Rainer; Mark E Hake; Cyril Mauffrey; David J Hak

doi:10.1016/j.injury.2015.08.019

Intramedullary cortical fragments: Recognition and techniques to permit safe nailing

Injury. 2015 Dec;46(12):2502-6. doi: 10.1016/j.injury.2015.08.019. Epub 2015 Aug 19.

Authors

William Rainer¹, Mark E Hake², Cyril Mauffrey³, David J Hak⁴

Affiliations

¹ Kirksville College of Osteopathic Medicine, Kirksville, MO, USA.
² Department of Orthopaedic Surgery, University of Michigan, Ann Arbor, MI, USA.
³ Department of Orthopaedic Surgery, Denver Health Medical Center, Denver, CO, USA.
⁴ Department of Orthopaedic Surgery, Denver Health Medical Center, Denver, CO, USA. Electronic address: [email protected].

PMID: 26319207
DOI: 10.1016/j.injury.2015.08.019

Abstract

The presence of a cortical fragment blocking the intramedullary canal is a challenging problem in the management of comminuted long bone fractures. Recognizing this problem and removing the cortical fragment are crucial to prevent complications from occurring. We present a simple technique to remove intramedullary fragments from within the canal to allow for safe nailing.

Publication types

Case Reports

MeSH terms

Adult
Bone Nails
Fracture Fixation, Intramedullary / instrumentation
Fracture Fixation, Intramedullary / methods*
Fractures, Comminuted / complications*
Fractures, Comminuted / surgery
Humans
Male
Middle Aged
Practice Guidelines as Topic
Surgical Equipment / statistics & numerical data*
Tibial Fractures / complications*
Tibial Fractures / surgery
Treatment Outcome