Segmentally Fractured Femoral Küntscher Nail Extraction Using a Variety of Techniques

Abstract not available. Introduction provided instead.

Intramedullary nails are standard treatment for lower extremity long-bone fractures. Implant failure (nail fracture) is usually associated with nonunion but can
occur with a healed fracture. Broken-nail extraction is usually required in the treatment of an associated nonunion but may also be indicated if symptomatic with a healed fracture. Extraction of a broken nail can be quite challenging. Many authors have described techniques for extracting the distal fragment of broken nails.

In this article, we report the case of a patient with a segmentally broken Küntscher nail (K‑nail) with a healed femoral shaft fracture. The nail was removed 14 years after fracture healing.