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An intramedullary femoral guide rod was broken during insertion. The broken part jammed into the isthmus of the femur. An initial attempt to push the broken rod via the proximal femur by a guide wire to the distal femur was unsuccessful because the broken rod was lodged in the isthmus. Ultimately, the isthmus was opened using a flexible 9-mm end-cutting reamer, and the broken rod was pushed down to the distal femoral entry site in an antegrade fashion under image intensification. Selecting a more medial entry site on the intercondylar notch with a smaller valgus cutting angle and using a shorter guide rod can avoid such a breakage.<\/jats:p>","DOI":"10.1177\/230949900601400121","type":"journal-article","created":{"date-parts":[[2016,10,4]],"date-time":"2016-10-04T17:14:58Z","timestamp":1475601298000},"page":"96-98","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":5,"title":["Breakage of Intramedullary Femoral Guide Rod during Total Knee Arthroplasty: A Case Report"],"prefix":"10.1177","volume":"14","author":[{"given":"WL","family":"Chan","sequence":"first","affiliation":[{"name":"Department of Orthopaedics and Traumatology, Kwong Wah Hospital, Hong Kong"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"CH","family":"Yen","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics and Traumatology, Kwong Wah Hospital, Hong Kong"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"KK","family":"Wong","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics and Traumatology, Kwong Wah Hospital, Hong Kong"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"PYT","family":"Tse","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics and Traumatology, Kwong Wah Hospital, Hong Kong"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"KH","family":"Mak","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics and Traumatology, Kwong Wah Hospital, Hong Kong"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2006,4,1]]},"reference":[{"key":"bibr1-230949900601400121","doi-asserted-by":"crossref","first-page":"245","DOI":"10.1097\/00003086-198611000-00026","volume":"212","author":"Moreland JR","year":"1986","journal-title":"Clin Orthop Relat Res"},{"key":"bibr2-230949900601400121","first-page":"71","volume":"141","author":"Wroblewski BM","year":"1979","journal-title":"Clin Orthop Relat Res"},{"key":"bibr3-230949900601400121","doi-asserted-by":"publisher","DOI":"10.1016\/j.arth.2003.12.075"},{"key":"bibr4-230949900601400121","doi-asserted-by":"publisher","DOI":"10.1054\/arth.2001.19161"},{"key":"bibr5-230949900601400121","doi-asserted-by":"crossref","first-page":"32","DOI":"10.1097\/00003086-199301000-00007","volume":"286","author":"Cates HE","year":"1993","journal-title":"Clin Orthop Relat Res"},{"key":"bibr6-230949900601400121","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-199309000-00010"},{"key":"bibr7-230949900601400121","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-199072010-00004"},{"key":"bibr8-230949900601400121","doi-asserted-by":"crossref","first-page":"198","DOI":"10.1097\/00003086-199002000-00033","volume":"251","author":"Caillouette JT","year":"1990","journal-title":"Clin Orthop Relat Res"},{"key":"bibr9-230949900601400121","first-page":"41","volume":"4","author":"Fang D","year":"1996","journal-title":"J Orthop Surg (Hong Kong)"},{"key":"bibr10-230949900601400121","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-200011000-00014"}],"container-title":["Journal of Orthopaedic Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/230949900601400121","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/230949900601400121","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,1]],"date-time":"2026-05-01T00:13:00Z","timestamp":1777594380000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/230949900601400121"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2006,4]]},"references-count":10,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2006,4]]}},"alternative-id":["10.1177\/230949900601400121"],"URL":"https:\/\/doi.org\/10.1177\/230949900601400121","relation":{},"ISSN":["1022-5536","2309-4990"],"issn-type":[{"value":"1022-5536","type":"print"},{"value":"2309-4990","type":"electronic"}],"subject":[],"published":{"date-parts":[[2006,4]]}}}