FAILED TIBIAL NAIL REMOVAL

[CHERRY KOVOOR]

Dear

Dear Friends

Kindly go through this case

Case of # tibia proximal one third with head injury. interlocking done in Saudi .Varus and procurvatum deformity. Planeed for nail removal and deformity correction  Screw head exposed [ lat side prox third tibia]The screw head was of a peculiar design – the  standard screw driver was loose I tried then with nose plier and it wasn’t possible- abandoned procedure,

Please tell me what implant this and what special screw driver and other instruments  I may need for removal

Attaching clin pics and x-rays

 

With kind regards

DR C CHERIYAN KOVOOR

KOCHI

INDIA

[Alexander Chelnokov]

Hi

2011/9/10 CHERRY KOVOOR <kovo...@gmail.com>

Please tell me what implant this and what special screw driver and other instruments

Looks similar to Smith&Nephew's Tibial Meta nail.

Check http://global.smith-nephew.com/us/showfile.xml?doc=7118-1112_Metanail-Tibial_ST.pdf

--
Best regards,
 Alexander N. Chelnokov
Ural Scientific Research Institute
of Traumatology and Orthopaedics
7, Bankovsky str. Ekaterinburg 620014 Russia

[Manuel Becerra]

Dear All

I am sorry. Was away for a few days.
Here are the operative photos of the case of the 22 year old girl with this complex fx-
Pls comments

cheers

Manuel

[pankaj bhatia]

No doubt nicely and perfectly done
can u please show us the operative incision iam apprensive of skin closure
pankaj

[selhi .]

Very nicely reduced and well fixed but reminds me of Lohar chawl. But sometimes in these fractures to get a hold and mobilise early one has to fix them like this respecting the soft tissues.

Harpal

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[arjun...@gmail.com]

Really true, looks like a clump of metal around a beautiful upper end tibia. Only the surgeon concerned knows how much stress and labour is involved in getting it reduced & stable. Looks terribly metallic but a job very well done.

Sent on my BlackBerry® from Vodafone

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From: "selhi ." <se...@sify.com>

Sender: orth...@googlegroups.com

Date: Wed, 14 Sep 2011 18:30:37 +0530

To: <orth...@googlegroups.com>

ReplyTo: orth...@googlegroups.com

Subject: Re: [Orthopod] tibia complex case

[Dr.Vishwanath Iyer]

It would have been nice, had the preop Xrays had been put up again
along with this.
V M Iyer

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Dr Vishwanath M Iyer
 919742399481
917620853362
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[Steve LITTLEFAIR]

Have you tried contacting hospital in Saudi and asking them