Broken femur nail implant removal

Download Broken femur nail  implant removal

Post on 21-Aug-2014

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Health & Medicine

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DESCRIPTION

A 20 year old young boy who was at the age of 16 with closed reamed femur nailing following fracture shaft femur sustained in a RTA was taken for implant removal. After engaging the extractor bolts, removing interlocking bolts, only the broken proximal part of the nail came out. The broken distal part of the nail was removed using Solapur Broken Nail Extractor and the same is shown in steps in this presentation

TRANSCRIPT

  • Photo Album of Broken femur nail drbshivashankar@gmail.com
  • 16 year boy sustained femoral shaft fracture in a RTA Treated with Closed femur nailing with Trochanteric entry on 19-4-2010 Came for follow up only once on 2-6-2010 at which time he was walking freely and was able to all the activities He came only after four years on 3-8-2014 for implant removel
  • 16-4-2010 21-4-2010 X rays Brought by patient
  • Same earlier X rays from old records at the hospital
  • 4-8-2014
  • Taken for Implant Removal on 5-8-2014 Extraction bolt Attached Distal Locking removed Proximal Locking removed
  • Only Proximal Broken Part Came
  • Zoomed picture Showing Broken Nail site at static locking hole Site Missed earlier.
  • C arm picture showing broken nail in femoral canal
  • Over reaming of Proximal Canal Done To prevent nail getting stuck while removing Meanwhile through distal locking hole site Steinmann Pin Passed
  • Solapur Broke nail extractor passed
  • Solapur Broken Nail Extractor Threaded and fixed to broken nail by reverse threading
  • Stages of extraction by gently blows
  • Stages of extraction by gently blows
  • Stages of extraction by gently blows
  • Stages of extraction by gently blows
  • Close Up view of Extractor Fixed to Broke nail piece
  • Disclaimer This presentation is intended only for learning purposes by medical student / Orthopaedic Surgery Student This is one of the way of treatment and not the only way of treatment. This should not be used as evidence in medico legal cases Views and opinion expressed in this presentation are personal opinion. Depending upon the x-rays and clinical presentations viewers can make their own opinion. For any confusion please contact the sole author for clarification on Every body is allowed to copy or download and use the material best suited to him. Author is not responsible for any controversies arise out of this presentation. For any suggestions write to the author on the email.

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