Surgical Technique for Removal of Old Universal Slotted AO Femoral Nail: A Case Report

This paper presents a surgical technique for the removal of an old universal femoral nail preceding total hip arthroplasty (THA) in a 50-year-old male patient with left hip osteoarthritis. The patient had undergone femur nail insertion approximately 35 years ago. Due to the necessity of nail removal...

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Main Authors: Naoko Onizuka, Brenton Douglass, Marc Swiontkowski
Format: Article
Language:English
Published: Wiley 2024-01-01
Series:Case Reports in Orthopedics
Online Access:http://dx.doi.org/10.1155/2024/5603392
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author Naoko Onizuka
Brenton Douglass
Marc Swiontkowski
author_facet Naoko Onizuka
Brenton Douglass
Marc Swiontkowski
author_sort Naoko Onizuka
collection DOAJ
description This paper presents a surgical technique for the removal of an old universal femoral nail preceding total hip arthroplasty (THA) in a 50-year-old male patient with left hip osteoarthritis. The patient had undergone femur nail insertion approximately 35 years ago. Due to the necessity of nail removal prior to THA, surgery to remove the nail was planned. There are challenges posed by the design of the old universal femoral nail system, particularly its side slot which made engagement of the conical bolt difficult. The successful removal of the nail was eventually achieved, enabling subsequent THA. Individuals who received this old implant years ago may now require its removal as part of osteoarthritis treatment. Given the lack of familiarity among surgeons with this outdated implant, this paper is aimed at providing essential guidance and insights regarding its removal procedure. This literature represents the inaugural documentation of the surgical technique for the removal of an aged femur nail.
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institution Kabale University
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language English
publishDate 2024-01-01
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record_format Article
series Case Reports in Orthopedics
spelling doaj-art-4391a89cfec04a7d9e6c0491b9c32c022025-02-03T11:21:07ZengWileyCase Reports in Orthopedics2090-67572024-01-01202410.1155/2024/5603392Surgical Technique for Removal of Old Universal Slotted AO Femoral Nail: A Case ReportNaoko Onizuka0Brenton Douglass1Marc Swiontkowski2Department of Orthopedic SurgeryDepartment of Orthopedic SurgeryDepartment of Orthopedic SurgeryThis paper presents a surgical technique for the removal of an old universal femoral nail preceding total hip arthroplasty (THA) in a 50-year-old male patient with left hip osteoarthritis. The patient had undergone femur nail insertion approximately 35 years ago. Due to the necessity of nail removal prior to THA, surgery to remove the nail was planned. There are challenges posed by the design of the old universal femoral nail system, particularly its side slot which made engagement of the conical bolt difficult. The successful removal of the nail was eventually achieved, enabling subsequent THA. Individuals who received this old implant years ago may now require its removal as part of osteoarthritis treatment. Given the lack of familiarity among surgeons with this outdated implant, this paper is aimed at providing essential guidance and insights regarding its removal procedure. This literature represents the inaugural documentation of the surgical technique for the removal of an aged femur nail.http://dx.doi.org/10.1155/2024/5603392
spellingShingle Naoko Onizuka
Brenton Douglass
Marc Swiontkowski
Surgical Technique for Removal of Old Universal Slotted AO Femoral Nail: A Case Report
Case Reports in Orthopedics
title Surgical Technique for Removal of Old Universal Slotted AO Femoral Nail: A Case Report
title_full Surgical Technique for Removal of Old Universal Slotted AO Femoral Nail: A Case Report
title_fullStr Surgical Technique for Removal of Old Universal Slotted AO Femoral Nail: A Case Report
title_full_unstemmed Surgical Technique for Removal of Old Universal Slotted AO Femoral Nail: A Case Report
title_short Surgical Technique for Removal of Old Universal Slotted AO Femoral Nail: A Case Report
title_sort surgical technique for removal of old universal slotted ao femoral nail a case report
url http://dx.doi.org/10.1155/2024/5603392
work_keys_str_mv AT naokoonizuka surgicaltechniqueforremovalofolduniversalslottedaofemoralnailacasereport
AT brentondouglass surgicaltechniqueforremovalofolduniversalslottedaofemoralnailacasereport
AT marcswiontkowski surgicaltechniqueforremovalofolduniversalslottedaofemoralnailacasereport