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Journal of Medical Case Reports
Published in: Journal of Medical Case Reports 1/2014

Open Access 01-12-2014 | Case report

A simple new technique for the removal of fractured femoral stems: a case report

Authors: Goran Bicanic, Kresimir Crnogaca, Domagoj Delimar

Published in: Journal of Medical Case Reports | Issue 1/2014

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Abstract

Introduction

The removal of broken femoral stems has become a major issue in revision surgery, and is a technically difficult and time-consuming procedure.

Case presentation

We present a case of a fracture of a cementless long femoral stem in a 65-year-old, white Caucasian man. The distal part was removed with a special longitudinal osteotomy through the anterior cortex extending distally for 10cm. It was then followed by a transversal osteotomy 2cm below the tip of the femoral stump to allow enough space for two locking pliers. Simultaneously using a lamina spreader on the distal part, the broken stem was extracted while hammering on two locking pliers.

Conclusions

We developed a simple and easy technique for the removal of a broken femoral stem that can be applied to all kinds of femoral stems and intramedullary nails regardless of their cross section. We used ordinary surgical instruments and spared the remaining bone stock.
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Metadata
Title
A simple new technique for the removal of fractured femoral stems: a case report
Authors
Goran Bicanic
Kresimir Crnogaca
Domagoj Delimar
Publication date
01-12-2014
Publisher
BioMed Central
Published in
Journal of Medical Case Reports / Issue 1/2014
Electronic ISSN: 1752-1947
DOI
https://doi.org/10.1186/1752-1947-8-151

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