Yogesh Sharad Salphale , Aman Tomar , Vikrant G. Salphale , Atharva R. Sharma , Gopal Shinde
{"title":"“Preventing nail migration by stack nailing in forearm fractures” - A technical note","authors":"Yogesh Sharad Salphale , Aman Tomar , Vikrant G. Salphale , Atharva R. Sharma , Gopal Shinde","doi":"10.1016/j.tcr.2024.101003","DOIUrl":null,"url":null,"abstract":"<div><p>Diaphyseal forearm fractures are typically treated with open reduction and plate fixation, which has been proven to be the most effective method in numerous trials. However, the risk of periosteal stripping, haemorrhage evacuation, nonunion, and infection is always present and may cause a delayed union and other surgical consequences. Although intramedullary nails have been mentioned in the literature for forearm bone fractures, issues regarding their common complication of nail migration, especially of the ulnar fracture, before the fracture has been consolidated is an issue, and has not been addressed.</p><p>We describe a case of IM nail migration of Ulna who presented to us, during the follow up, before the fracture had consolidated.</p><p>The procedure described is short and consistent with the outstanding cosmetic and functional results.</p></div>","PeriodicalId":23291,"journal":{"name":"Trauma Case Reports","volume":null,"pages":null},"PeriodicalIF":0.0000,"publicationDate":"2024-04-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2352644024000268/pdfft?md5=0fb33dd05232d58c19de283641c175b8&pid=1-s2.0-S2352644024000268-main.pdf","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Trauma Case Reports","FirstCategoryId":"1085","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S2352644024000268","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q4","JCRName":"Medicine","Score":null,"Total":0}
引用次数: 0
Abstract
Diaphyseal forearm fractures are typically treated with open reduction and plate fixation, which has been proven to be the most effective method in numerous trials. However, the risk of periosteal stripping, haemorrhage evacuation, nonunion, and infection is always present and may cause a delayed union and other surgical consequences. Although intramedullary nails have been mentioned in the literature for forearm bone fractures, issues regarding their common complication of nail migration, especially of the ulnar fracture, before the fracture has been consolidated is an issue, and has not been addressed.
We describe a case of IM nail migration of Ulna who presented to us, during the follow up, before the fracture had consolidated.
The procedure described is short and consistent with the outstanding cosmetic and functional results.
期刊介绍:
Trauma Case Reports is the only open access, online journal dedicated to the publication of case reports in all aspects of trauma care and accident surgery. Case reports on all aspects of trauma management, surgical procedures for all tissues, resuscitation, anaesthesia and trauma and tissue healing will be considered for publication by the international editorial team and will be subject to peer review. Bringing together these cases from an international authorship will shed light on surgical problems and help in their effective resolution.