Evidence map›Paper›PMID 41990153›Full record

ArticleJBJS case connector2026

Novel Technique to Remove Intramedullary Nails with Difficult End Caps Using Minimal Instrumentation: A Case Report.

Mark Ayoub

Abstract readCase Reports
In one paragraph

Article in JBJS case connector, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

1 author.

Mark AyoubDepartment of Orthopaedic Surgery, UCSF-Fresno, Fresno, California.ORCID 0009-0003-7209-6144

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

caseA 17-year-old adolescent boy undergoing removal of a piriformis-entry femoral nail had an associated end cap that was unable to be engaged. Accordingly, an appropriately sized threaded guidewire was cannulated inside the implant cap, allowing the construct to be removed as one unit.

conclusionWhen an intramedullary nail has a difficult-to-remove end cap, a threaded guidewire can obtain an interference fit inside of it. The wire can then pull the nail and cap together as one structure. We believe this is a reproducible technique that minimizes soft tissue injury, requires minimal instrumentation, and remains cost effective.

Indexed as

Bone NailsFemoral FracturesFracture Fixation, IntramedullaryHardware RemovalAdolescentHumansMaleend cap removalfemur malunionhardware removalnail removal

Identifiers

PMID41990153
PMCPMC13082361

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.