{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,11]],"date-time":"2026-02-11T16:59:24Z","timestamp":1770829164134,"version":"3.50.1"},"reference-count":28,"publisher":"BMJ","issue":"3","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2022,2,24]]},"published-print":{"date-parts":[[2022,3]]},"abstract":"<jats:p>Intramedullary nailing has become a standard of care for tibia fractures. Reaming is an essential part of this technique due to its multiple advantages like a better fit and earlier union. In young bone, with a narrow cortical canal, incarceration and breakage of reamer is a possibility. This can be removed with a ball-tip guidewire. In our case, the broken incarcerated reamer was complicated by a broken ball-tip of the guidewire, leading us to invent a novel medial tibial osteotomy window for the reamer removal. This can be a handy tool for a stuck surgeon intraoperatively.<\/jats:p>","DOI":"10.1136\/bcr-2021-247812","type":"journal-article","created":{"date-parts":[[2022,3,8]],"date-time":"2022-03-08T11:45:13Z","timestamp":1646739913000},"page":"e247812","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":3,"title":["\u2018Extended tibia osteotomy\u2019: a technical tip for removal of incarcerated reamer with broken guide wire bead during tibia nailing and literature review"],"prefix":"10.1136","volume":"15","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-1386-1515","authenticated-orcid":false,"given":"Pulak","family":"Vatsya","sequence":"first","affiliation":[{"name":"Department of Orthopedics, All India Institute of Medical Sciences, New Delhi, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Samarth","family":"Mittal","sequence":"additional","affiliation":[{"name":"Department of Orthopedics, All India Institute of Medical Sciences, New Delhi, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Aashraya","family":"Karpe","sequence":"additional","affiliation":[{"name":"Department of Opthalmology, Dr Shroff's Charity Eye Hospital Delhi, New Delhi, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Vivek","family":"Trikha","sequence":"additional","affiliation":[{"name":"Department of Orthopedics, All India Institute of Medical Sciences, New Delhi, India"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2022,3,8]]},"reference":[{"key":"2025082707071566000_15.3.e247812.1","doi-asserted-by":"crossref","first-page":"315","DOI":"10.1097\/00005131-199004030-00014","article-title":"Successful use of reaming and intramedullary nailing of the tibia","volume":"4","author":"Collins","year":"1990","journal-title":"J Orthop Trauma"},{"key":"2025082707071566000_15.3.e247812.2","doi-asserted-by":"publisher","DOI":"10.1016\/0020-1383(95)00056-F"},{"key":"2025082707071566000_15.3.e247812.3","doi-asserted-by":"publisher","DOI":"10.1097\/00003086-200202000-00031"},{"key":"2025082707071566000_15.3.e247812.4","doi-asserted-by":"crossref","first-page":"440","DOI":"10.1097\/00005373-200009000-00009","article-title":"Technical innovations in medullary reaming: reamer design and intramedullary pressure increase","volume":"49","author":"M\u00fcller","year":"2000","journal-title":"J Trauma"},{"key":"2025082707071566000_15.3.e247812.5","first-page":"427","article-title":"Venting during prophylactic nailing for femoral metastases: current orthopedic practice","volume":"46","author":"Dalgorf","year":"2003","journal-title":"Can J Surg"},{"key":"2025082707071566000_15.3.e247812.6","doi-asserted-by":"publisher","DOI":"10.1016\/0020-1383(95)90020-X"},{"key":"2025082707071566000_15.3.e247812.7","doi-asserted-by":"crossref","first-page":"492","DOI":"10.1097\/00005131-200608000-00007","article-title":"Removal of a broken intramedullary nail with a narrow hollow","volume":"20","author":"Park","year":"2006","journal-title":"J Orthop Trauma"},{"key":"2025082707071566000_15.3.e247812.8","doi-asserted-by":"crossref","first-page":"66","DOI":"10.5704\/MOJ.1207.011","article-title":"A simple method for removal of the distal segment of a broken femoral intramedullary nail: a case report","volume":"6","author":"Pan","year":"2012","journal-title":"Malays Orthop J"},{"key":"2025082707071566000_15.3.e247812.9","doi-asserted-by":"crossref","first-page":"169","DOI":"10.1308\/rcsann.2009.91.2.169","article-title":"A technique for the removal of the distal part of a broken intramedullary nail","volume":"91","author":"Blake","year":"2009","journal-title":"Ann R Coll Surg Engl"},{"key":"2025082707071566000_15.3.e247812.10","doi-asserted-by":"crossref","first-page":"279","DOI":"10.1590\/S1807-59322010000300007","article-title":"Anterograde removal of broken femoral nails without opening the nonunion site: a new technique","volume":"65","author":"de Amorim Cabrita","year":"2010","journal-title":"Clinics"},{"key":"2025082707071566000_15.3.e247812.11","first-page":"24","article-title":"Comparison study between reamed and unreamed nailing of closed femoral fractures","volume":"56(Suppl D)","author":"Selvakumar","year":"2001","journal-title":"Med J Malaysia"},{"key":"2025082707071566000_15.3.e247812.12","unstructured":"Rijal L , Manandhar HK , Nepal P . Instrument fails, but surgeon should not. Easy approaches for retrieval of broken intramedullary reamer from the tibia. 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