Dissociation of a Femoral Intramedullary Magnetic Lengthening Nail during Routine Hardware Removal: A Case Report

Mitchell A. Johnson; Alexa J. Karkenny; Alexandre Arkader; Richard S. Davidson

doi:10.2106/JBJS.CC.20.00950

Dissociation of a Femoral Intramedullary Magnetic Lengthening Nail during Routine Hardware Removal: A Case Report

Mitchell A. Johnson, Alexa J. Karkenny, Alexandre Arkader, Richard S. Davidson

Research output: Contribution to journal › Article › peer-review

6 Scopus citations

Abstract

Case:A 15-year-old boy with a right femur length discrepancy secondary to infection underwent hardware removal 1-year status-post right femur osteotomy with placement of an antegrade intramedullary magnetic lengthening nail after successful lengthening of 4.2 cm. During hardware removal, dissociation between the proximal (outer) and distal (inner) components of the device was observed. The distal component was removed using an endoscopic pituitary rongeur after considering multiple possible techniques.Conclusions:In the event of nail disconnection during removal of an intramedullary implant, we recommend use of a long pituitary rongeur to retrieve the distal nail component.

Original language	English (US)
Article number	e20.00950
Journal	JBJS Case Connector
Volume	11
Issue number	1
DOIs	https://doi.org/10.2106/JBJS.CC.20.00950
State	Published - Mar 8 2021
Externally published	Yes

Keywords

Growing nail
IM nail
K-wire
Kirschner wire
Magnetic lengthening nail
Magnetic nail
Precice nail
Stryde nail

ASJC Scopus subject areas

Surgery
Orthopedics and Sports Medicine

Access to Document

10.2106/JBJS.CC.20.00950

Cite this

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title = "Dissociation of a Femoral Intramedullary Magnetic Lengthening Nail during Routine Hardware Removal: A Case Report",

abstract = "Case:A 15-year-old boy with a right femur length discrepancy secondary to infection underwent hardware removal 1-year status-post right femur osteotomy with placement of an antegrade intramedullary magnetic lengthening nail after successful lengthening of 4.2 cm. During hardware removal, dissociation between the proximal (outer) and distal (inner) components of the device was observed. The distal component was removed using an endoscopic pituitary rongeur after considering multiple possible techniques.Conclusions:In the event of nail disconnection during removal of an intramedullary implant, we recommend use of a long pituitary rongeur to retrieve the distal nail component.",

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AU - Johnson, Mitchell A.

AU - Karkenny, Alexa J.

AU - Arkader, Alexandre

AU - Davidson, Richard S.

PY - 2021/3/8

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AB - Case:A 15-year-old boy with a right femur length discrepancy secondary to infection underwent hardware removal 1-year status-post right femur osteotomy with placement of an antegrade intramedullary magnetic lengthening nail after successful lengthening of 4.2 cm. During hardware removal, dissociation between the proximal (outer) and distal (inner) components of the device was observed. The distal component was removed using an endoscopic pituitary rongeur after considering multiple possible techniques.Conclusions:In the event of nail disconnection during removal of an intramedullary implant, we recommend use of a long pituitary rongeur to retrieve the distal nail component.

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KW - Precice nail

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Dissociation of a Femoral Intramedullary Magnetic Lengthening Nail during Routine Hardware Removal: A Case Report

Abstract

Keywords

ASJC Scopus subject areas

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