Pongsamakthai Wanjak, Apivatthakakul Theerachai, Sangkomkamhang Thananit
Department of Orthopaedics, Khon Kaen Hospital, Khon Kaen 40000, Thailand.
Department of Orthopaedics, Faculty of Medicine, Chiang Mai University, Chiang Mai 50200, Thailand.
J Clin Orthop Trauma. 2016 Oct-Dec;7(Suppl 1):22-26. doi: 10.1016/j.jcot.2016.10.009. Epub 2016 Nov 3.
Nonunion of femoral shaft fracture is an uncommon complication after closed intramedullary nailing which often leading to nail breakage. Removal of the broken femoral nail with closed manner is a challenging procedure for orthopedic surgeons. The removal technique with the T-reamer is a closed method, which does not require either a nonunion site opening or knee exposing. We reported 3 cases of nonunion femoral shaft with broken slotted and non-slotted hollow nail which were successfully removed without any complication. All fractures healed uneventfully without open the fracture site or bone grafting.