Intramedullary cortical fragment in tibial nailing: push it, remove it or ignore it?

Main Article Content

Luigi Branca Vergano
Vito Prezioso
Mauro Monesi

Keywords

intramedullary cortical fragment, nailing, incarcerated free fragment

Abstract

Intramedullary nailing of long bones is a safe procedure, with excellent long-term results. Even in apparently simple fractures, many complications may arise. Incarceration of a cortical fragment in the medullary canal is a fearsome situation, which may lead to severe complications and, consequently, poor outcomes. The surgeon should be aware of this risk and, after careful analysis of the pre-operative imaging, must remove or, at least, disengage the fragment from the medullary canal.

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References

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