Journal of orthopaedic case reports · 2025
A Rare Case of Titanium Elastic Nail Removal 7 Years after Pediatric Femoral Shaft Fracture Using a Screw Retriever Technique.
Клинический случайСтатьяНазвание и аннотация: Перевод в очереди
Обработка статьи · этапы, ошибки и управление
Загрузка состояния…
Ошибки и ограничения
История · было → стало
Состояние обновляется каждые 5 секунд, пока блок открыт. Процент показывается только там, где известен объём работы. Пауза останавливает продолжение этапа; текущий запрос к источнику может завершиться.
Singh Manmohan, Singla Neeraj, Singh Krishmveer, Garg Rahul, Bansal Kapil, Bajaj Gagandeep
Аннотация
INTRODUCTION: Elastic stable intramedullary nailing is a commonly used modality for the surgical stabilization of long-bone fractures in children, with routine implant removal recommended within 6-12 months. Delayed removal beyond this timeframe is uncommon and presents unique surgical challenges. We report a rare case of titanium elastic nails (TENs) removal performed 7 years after initial fixation, highlighting the technical considerations and successful outcome.
CASE REPORT: A 14-year-old female presented with discomfort in the left thigh. The patient had a history of TENs nails inserted at age 7 for a mid-shaft femoral fracture. The patient was lost to follow-up due to family circumstances. The patient had remained completely asymptomatic throughout the retention period with full functional recovery. Radiograph of the left thigh showed two TENs nails. Due to anticipated extraction difficulty from prolonged retention, a screw retriever technique was successfully employed for safe nail removal without complications.
CONCLUSION: This case demonstrates the excellent biocompatibility of titanium implants and confirms that delayed TENs removal can be safely accomplished using specialized extraction techniques. The use of a screw retriever provides an effective solution for challenging implant removal scenarios while minimizing surgical morbidity.
CASE REPORT: A 14-year-old female presented with discomfort in the left thigh. The patient had a history of TENs nails inserted at age 7 for a mid-shaft femoral fracture. The patient was lost to follow-up due to family circumstances. The patient had remained completely asymptomatic throughout the retention period with full functional recovery. Radiograph of the left thigh showed two TENs nails. Due to anticipated extraction difficulty from prolonged retention, a screw retriever technique was successfully employed for safe nail removal without complications.
CONCLUSION: This case demonstrates the excellent biocompatibility of titanium implants and confirms that delayed TENs removal can be safely accomplished using specialized extraction techniques. The use of a screw retriever provides an effective solution for challenging implant removal scenarios while minimizing surgical morbidity.