Case Report
Copyright ©The Author(s) 2015. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Orthop. Nov 18, 2015; 6(10): 847-849
Published online Nov 18, 2015. doi: 10.5312/wjo.v6.i10.847
“Push back” technique: A simple method to remove broken drill bit from the proximal femur
Devendra K Chouhan, Siddhartha Sharma
Devendra K Chouhan, Siddhartha Sharma, Department of Orthopaedics, Postgraduate Institute of Medical Education and Research, Chandigarh 160012, India
Author contributions: Chouhan DK and Sharma S equally contributed to this work.
Institutional review board statement: This study was approved by the Orthopedics Departmental Review Board, Postgraduate Institute of Medical Education and Research.
Informed consent statement: The patient gave their informed consent to take part in the study.
Conflict-of-interest statement: The authors have no conflicts of interest.
Open-Access: This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
Correspondence to: Dr. Siddhartha Sharma, Department of Orthopaedics, Postgraduate Institute of Medical Education and Research, Sector 12, Chandigarh 160012, India. sids82@gmail.com
Telephone: +91-998-8793537 Fax: +91-172-2756743
Received: March 29, 2015
Peer-review started: March 31, 2015
First decision: April 27, 2015
Revised: May 7, 2015
Accepted: August 30, 2015
Article in press: August 31, 2015
Published online: November 18, 2015
Abstract

Broken drill bits can be difficult to remove from the proximal femur and may necessitate additional surgical exploration or special instrumentation. We present a simple technique to remove a broken drill bit that does not require any special instrumentation and can be accomplished through the existing incision. This technique is useful for those cases where the length of the broken drill bit is greater than the diameter of the bone.

Keywords: Broken drill bit, Interlocking nail, Femoral fracture, Surgical technique

Core tip: Drill bits can break during locking in femoral intramedullary nailing. In this article, the authors describe an innovative yet simple technique to remove a broken drill bit from the proximal femur.