How to manage blocked intramedullary canal while reaming during hip arthroplasty

Harish Bansal; Laxmi Narayan Jajoriya; Aditya Verma

doi:10.18203/issn.2455-4510.IntJResOrthop20234065

Authors

Harish Bansal Department of Orthopaedics, Indian Spinal Injuries Centre, Vasant Kunj, New Delhi, India
Laxmi Narayan Jajoriya Department of Orthopaedics, Indian Spinal Injuries Centre, Vasant Kunj, New Delhi, India
Aditya Verma Department of Orthopaedics, Indian Spinal Injuries Centre, Vasant Kunj, New Delhi, India

DOI:

https://doi.org/10.18203/issn.2455-4510.IntJResOrthop20234065

Keywords:

Blocked femoral canal, Hemiarthroplasty, Reaming, Fracture, K-wire

Abstract

Blockage of femoral canal while doing hemiarthroplasty is rare finding. Before inserting the femoral stem trial we should manage this blockage adequately to prevent iatrogenic fracture. Herein, we present a case of fracture neck of femur right in a 79-year-old male who presented with history of right hip pain and later was diagnosed with neck of femur fracture subcapital type that was treated with cementless hemiarthroplasty. In conclusion, if the canal is blocked, start with small diameter (K-wire), then insert guide wire and then reaming over it to open the blocked canal, do not hammer directly to prevent iatrogenic fracture. Go sequentially to open the blockage. First open the marrow then insert trial stem.

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