Open Inter Locked Nailing Without Targeting Device or X-Ray Guide in Revision Surgery for Non-Union of the Femur: A Case Report

Abstract

We present a patient with non-union of the femur and fracture of the nail after Kuntscher nailing who went on to have union after interlocked nailing with a modified Kuntscher nail (K-nail). The interlocked intramedullary nailing was done without X-ray guide or targeting device. The essence of this report is to highlight the possibilities inherent in modification of devices and established procedures. The early result calls for a closer look at this cheap, safe and effective means of handling femoral non-union in third world societies where instrumentation and implants for interlocked nailing may not be readily available.

Key Words: Interlocked-Intramedullary nail, Femur, Cortical window.