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Removal of Broken Femoral Intramedullary Nail Using Arthroscopic Flipcutter: A Novel Technique

Kumar, Vijay MS Orthop; Singla, Amit MBBS; Mittal, Samarth MS Orthop; Malhotra, Rajesh MS Orthop, FRCS

doi: 10.1097/BTO.0000000000000038
Tips and Pearls

Use of intramedullary nailing as the preferred technique for fixation of long bone fractures has led to a large number of cases presenting with breakage of these nails. Various techniques and methods have been described for their removal. However, most of them require prolonged anesthesia duration, surgical time, increased blood loss, increased dissection, and use of special custom-made devices. To address these issues, we describe a new technique for the removal of broken intramedullary implant using an arthroscopic flipcutter.

All India Institute of Medical Sciences, New Delhi, India

V.K. and R.M. are the main operating surgeons and managed the patient; A.S. assisted the surgery and did the literature search and wrote the report; and S.M. helped in writing the case report.

The authors declare that they have nothing to disclose.

Address correspondence and reprint requests to Amit Singla, MBBS, Department of Orthopaedics, Teaching Block, All India Institute of Medical Sciences, Ansari Nagar, New Delhi 110029, India. E-mail:

© 2014 by Lippincott Williams & Wilkins