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Case Report
- Breakage of Reamer during Tibia Intramedullary Nailing: A Case Report
- Ho Yoon Kwak, M.D., Jin Su Kim, M.D., Ph.D., Ki Won Young, M.D., Ph.D., Joo Won Joh, M.D., Sae Min Hwang, M.D.
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Journal of the Korean Fracture Society 2013;26(4):333-337.
DOI: https://doi.org/10.12671/jkfs.2013.26.4.333
Published online: October 18, 2013
Department of Orthopedic Surgery, Eulji General Hospital, Eulji University College of Medicine, Seoul, Korea.
*Dr. Choi's Orthopedic Surgery, Seoul, Korea.
- Address reprint requests to: Jin Su Kim, M.D., Ph.D. Department of Orthopedic Surgery, Eulji General Hospital, 68 Hangeulbiseong-ro, Nowon-gu, Seoul 139-711, Korea. Tel: 82-2-970-8561, Fax: 82-2-974-8259, jins33@eulji.ac.kr
• Received: February 1, 2013 • Revised: March 12, 2013 • Accepted: June 23, 2013
Copyright © 2013 The Korean Fracture Society. All rights reserved.
This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
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Abstract
- The reamer crack, followed by breakage at its distal part occurred during intramedullary nailing of tibial shaft fracture. The broken reamer was trapped in the intramedullary canal, making it very difficult to pull out. We successfully extracted the broken reamer by retrograde impaction through the fracture site and completed intramedullary nailing procedure. Thus, we present this case with a review of the literature.
- 1. Bhandari M, Guyatt GH, Swiontkowski MF, et al. Surgeons' preferences for the operative treatment of fractures of the tibial shaft. An international survey. J Bone Joint Surg Am, 2001;83-A:1746-1752.
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REFERENCES
Fig. 1Preoperative anteroposterior and lateral radiographs of 37-year-old male patient. The patient was injured from slipping down with external rotation force.
Fig. 3We successfully pulled out the broken reamer using a guidewire in a retrograde manner through the additional incision over the fracture site.
Fig. 4Broken reamer shaft after removal: Distal and proximal end of broken reamer were twisted and elongated.
Figure & Data
REFERENCES
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Fig. 1
Preoperative anteroposterior and lateral radiographs of 37-year-old male patient. The patient was injured from slipping down with external rotation force.
Fig. 2
Fluoroscopic radiograph of distal end of the broken reamer.
Fig. 3
We successfully pulled out the broken reamer using a guidewire in a retrograde manner through the additional incision over the fracture site.
Fig. 4
Broken reamer shaft after removal: Distal and proximal end of broken reamer were twisted and elongated.
Fig. 5
Open reduction with bone clamp and internal fixation with intramedullary nail and interlocking screws were performed.
Fig. 6
Postoperative anteroposterior and lateral radiographs of the tibia.
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Breakage of Reamer during Tibia Intramedullary Nailing: A Case Report
