Photo Albumof Broken femur nail

drbshivashankar@gmail.com

• 16 year boy sustained femoral shaft fracture in a RTA

• Treated with Closed femur nailing with Trochanteric entry on 19-4-2010

• Came for follow up only once on 2-6-2010 at which time he was walking freely and was able to all the activities

• He came only after four years on 3-8-2014 for implant removel

16-4-2010 21-4-2010

X rays Brought by patient

Same earlier X rays from old records at the hospital

4-8-2014

Taken for Implant Removal on 5-8-2014

Extraction bolt AttachedDistal Locking removedProximal Locking removed

Only Proximal Broken Part Came

Zoomed picture Showing Broken Nail site at static locking holeSite Missed earlier.

C arm picture showing broken nail in femoral canal

Over reaming of Proximal Canal DoneTo prevent nail getting stuck while removing

Meanwhile through distal locking hole siteSteinmann Pin Passed

Solapur Broke nail extractor passed

Solapur Broken Nail Extractor Threaded and fixed to broken nail by reverse threading

Stages of extraction by gently blows

Stages of extraction by gently blows

Stages of extraction by gently blows

Stages of extraction by gently blows

Close Up view of Extractor Fixed to Broke nail piece

Disclaimer• This presentation is intended only for learning purposes by medical

student / Orthopaedic Surgery Student• This is one of the way of treatment and not the only way of treatment.• This should not be used as evidence in medico legal cases• Views and opinion expressed in this presentation are personal opinion.• Depending upon the x-rays and clinical presentations viewers can

make their own opinion.• For any confusion please contact the sole author for clarification on

<drbshivashankar@gmail.com>• Every body is allowed to copy or download and use the material best

suited to him. Author is not responsible for any controversies arise out of this presentation.

• For any suggestions write to the author on the email.