The Fish Hook Technique of extracting broken intramedullary nails


Published online: Oct 27 2008

Mehool Acharya, Asef Alani, Sami Almedghio

From Leicester Royal Infirmary, Leicester UK

Abstract

Removal of hardware in orthopaedic surgery is usually encountered in revision fracture surgery for non union, mal union, infection and peri-implant failure. If the hardware has broken this can make revision surgery even more demanding. Numerous techniques have been described to facilitate implant removal. A broken femoral nail is not an uncommon presentation of a delayed union or a non union. We describe a simple and innovative technique to remove the distal portion of broken intramedullary nails without causing any further trauma. This technique can be extended to include most hollow intramedullary nails.