Title of article :
Reamer Breakage during Intramedullary Nailing in Tibial Shaft Fractures: A Case Report and Review of Literature
Author/Authors :
Kazemi, Mahlisha Department of Orthopedic and Trauma Surgery - Shariati Hospital - School of Medicine - Tehran University of Medical Sciences - Tehran, Iran , Sharafi, Mohammad hasan Department of Orthopedic and Trauma Surgery - Shariati Hospital - School of Medicine - Tehran University of Medical Sciences - Tehran, Iran , Shayan-Moghadam, Ramin Department of Orthopedic and Trauma Surgery - Shariati Hospital - School of Medicine - Tehran University of Medical Sciences - Tehran, Iran
Abstract :
Background: Interlocked intramedullary nailing is the most common treatment for closed tibial fractures. Reaming is a fundamental step in this surgical technique, and reamer breakage is a rare yet challenging complication during this operation.
Case Report: A 34-year old male with a tibial shaft fracture was admitted for early closed tibial nailing. During the reaming process, the reamer broke and stuck in the medulla at the isthmus level. We extracted the broken piece by back hammering a cannulated T-handle placed on the ball tip guide pin.
Conclusion: In this closed and quick method, we did not use any extra device other than standard equipment of intramedullary nailing.
Keywords :
Intramedullary Nailing , Orthopedic Fixation Devices , Tibial Fractures
Journal title :
Journal of Orthopedic and Spine Trauma
