R.A. SHAFIGULIN^1,2, R.Ya. KHABIBYANOV^1,2

¹Kazan State Medical Academy – Branch Campus of  RMACPE MH Russia, Kazan

²Republican Clinical Hospital of the Ministry of Healthcare of the Republic of Tatarstant, Kazan

 Contact details:

Shafigulin R.A. — postgraduate student of the Department of Traumatology and Orthopedics

Address: 36 Butlerova St., Kazan, Russian Federation, 420012, tel.: +7-927-414-14-30, e-mail: rashid221@yandex.ru

The article presents an algorithm for treating one of the complications of blocking intramedullary osteosynthesis (BIOS) of the femur — fracture of the femoral intramedullary nail. The algorithm was developed on the basis of the experience of treating the specified patients, developed technologies for removing broken pins. The algorithm, introduced into the work of the Department of Traumatology No. 1 of our clinic, allows you to remove broken pins in a closed way without resorting to the use of expensive tools, and can be used in the trauma and orthopedic departments.

 Key words: hip fracture, breakage of a femoral locked intramedullary nail, intramedullary osteosynthesis, specific complications of intramedullary osteosynthesis.

(For citation: Shafigulin R.A., Khabibyanov R.Ya. Algorithm for treating patients upon breakage of a femoral locked intramedullary nail. Practical medicine. 2019. Vol. 17, № 6 (part 2), P. 35-38)

REFERENCES

1. Plotnikov I.A. Profilaktika i lechenie oslozhneniy blokiruemogo intramedullyarnogo osteosinteza pri perelomakh bedra u patsientov s politravmoy: avtoref. dis. … kand. med. nauk [Prevention and treatment of complications of blocked intramedullary osteosynthesis in hip fractures in patients with polytrauma. Synopsis of dis. PhD med. sciences]. Novosibirsk, 2014. 14 p.
2. Wolinsky P.R., McCarty E., Shyr Y., Johnson K. Reamed intramedullary nailing of the femur: 551 cases. J Trauma, 1999, no. 46, pp. 392–9.
3. Cabrita H., Malavolta E., Teixeira O., Montenegro N., Duarte F., Matar R-Jr. Anterograde Removal of Broken Femoral Nails without Opening the Nonunion Site: A New Technique. J. Clinics (Sao Paolo), 2010, no. 65(3), pp. 279-283.
4. Boriani S., De Iure F., Bettelli G. et al. The results of a multicenter Italian study on the use of the Gamma nail for the treatment of pertrochanteric and subtrochanteric fractures: a review of 1181 cases. Chir Organ Mov,1994, no. 79, pp. 193–203.
5. Kempf I., Grosse A., Beck G. Closed locked intramedullary nailing. Its application to comminuted fractures of the femur. J Bone Joint Surg, 1985, no. 67, pp. 709–20.
6. Wu C.C., Shih C.H. Biomechanical analysis of the mechanism of interlocking nail failure. Arch Orthop Trauma Surg, 1992, no. 111(5), pp. 268–272.
7. Hahn D., Bradbury N., Hartley R., Radford P.J. Intramedullary nail breakage indistal fractures of the tibia. Injury, 1996, no. 27, pp. 323–7.
8. Whalley H., Thomas G., Hull P., Porter K. Surgeon versus metalwork – Tips to remove a retained intramedullary nail fragment. Injury, Int. J. Care Injured, 2009, no. 40, pp. 783–789.