We report a 20-year-old Chinese female who presented with severe limping because of nonunion of her right proximal femoral fracture. The radiographs showed an intramedullary femoral nail fractured through one of its proximal locking holes. We successfully treated her by exchanging the intramedullary nail and grafting with autogenous bone. A transarticular retrograde technique was employed for the removal of the broken nail since it could not be removed by standard conventional techniques.
LernerAlexander. Treatment of nonunions with irretrievable broken nail pieces in the distal fragment. Arch Orthop Trauma Surg2004;124:151–3.
4.
MiddletonRG. Multiple guide wire technique for removal of the short distal fragment of a fractured intramedullary nail. Injury1995;26:531–2.
5.
MainiL, SinghJ, AgarwalP, Removal of broken Kuntscher's nail: an innovative close technique. J Trauma2005;59:1518–20.
6.
MarwanM, IbrahimM.Simple method for retrieval of distal segment of the broken interlocking intramedullary nail. Injury1999;30:333–5.
7.
GiannoudisPV, MatthewsSJ, SmithRM. Removal of the retained fragment of broken solid nails by the intramedullary route. Injury2001;32:407–10.
8.
KrettekC, SchandelmaierP, TscherneH.Removal of a broken solid femoral nail: a simple push-out technique. A case report. J Bone Joint Surg Am1997;79:247–51.
9.
MainiL, JainN.Removal of a multisegmental broken nail by close technique using a TEN nail. J Trauma2009;66:E78–80.
10.
MaguNK, SharmaAK, SinghR.Extraction of the broken intramedullary femoral nail-an innovative technique. Injury2004;35:1322–3.
