Technique for Removal of Broken InterTAN Integrated Cephalomedullary Screw
Pertrochanteric femoral fractures are routinely treated with cephalomedullary nailing, with good success. In the event of nonunion, implant fatigue failure may occur. The Trigen InterTAN system (Smith & Nephew, Memphis, TN) features 2 integrated cephalomedullary screws for improved rotational st...
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| Published in: | Journal of orthopaedic trauma Vol. 35; no. 9; pp. e352 - e354 |
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| Main Authors: | , |
| Format: | Journal Article |
| Language: | English |
| Published: |
Journal of Orthopaedic Trauma
01-09-2021
Copyright Wolters Kluwer Health, Inc. All rights reserved |
| Online Access: | Get full text |
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| Summary: | Pertrochanteric femoral fractures are routinely treated with cephalomedullary nailing, with good success. In the event of nonunion, implant fatigue failure may occur. The Trigen InterTAN system (Smith & Nephew, Memphis, TN) features 2 integrated cephalomedullary screws for improved rotational stability of the proximal segment. The inferior compression screw prevents rotation of the larger, superior lag screw. In the event of inferior screw breakage, the retained portion will prevent the integrated lag screw from being rotated to permit extraction. We present a case of a broken nail as well as a broken integrated screw, and describe a technique for successful implant removal. |
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| Bibliography: | ObjectType-Case Study-2 SourceType-Scholarly Journals-1 ObjectType-Feature-4 content type line 23 ObjectType-Report-1 ObjectType-Article-3 |
| ISSN: | 0890-5339 1531-2291 |
| DOI: | 10.1097/BOT.0000000000002024 |