Small Incision Osteotomy: An Innovative Approach for Removal of Impacted Kuntscher Nail RD03-RD05
Dr. Chirag Arora,
C 2/74, Ashok Vihar, Phase-2, Delhi-110052, India.
The use of Kuntscher nail has been one of the most important advancement in trauma surgery. Removal of impacted Kuntscher nail represents one of the difficult problems in orthopaedics today. A 53-year-old male presented with pain and implant back out following Kuntscher nail done 20-years back. The fracture had clinically and radiologically united. Implant extraction was done by an innovative technique described subsequently as small incision osteotomy. Gigli saw wire was passed through the slot of Kuntscher nail by a small bony window near the greater trochanter, another window was made at the tip of the nail and wire end extracted out. Subsequently, osteotomy of femur was done without exposing the whole length of the femur. Osteotomy was opened with a small osteotome and nail was extracted through the entry site.