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Exchange Femoral Nailing: A New Technique for Removal of a Broken Nail

The American Journal of Orthopedics. 2007 September;36(9):500-502
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Exchange femoral nailing is the preferred method for treating femoral nonunions. When the index femoral nail is broken, the difficulty of exchange nailing increases dramatically. In this article, we describe a new technique for removing a broken retrograde nail—advancing it out of the proximal end of the femur.