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Removal of Broken Retrograde Rush Rod from Tibia: A Technical Tip

Surgical Technique | Volume 12 | Issue 2 | May-August 2026 | Page: 47-49 | Tariq Mir, Anoop Mavila DOI- https://doi.org/10.13107/ijpo.2026.v12.i02.284 Open Access License: CC BY-NC 4.0 Copyright Statement: Copyright © 2026; The Author(s). Submitted: 14/04/2026; Reviewed: 07/05/2026; Accepted: 11/06/2026; Published: 10/08/2026 Authors: Tariq Mir [1], Anoop Mavila [1] [1] Department of Paediatric Orthopaedics Unit, […]

A Rare but Preventable Injury: Surgical Management of Traumatic Achilles Tendon Tear Caused by Glass-coated Kite String (Chinese Manja) in a Child – A Case Report

Case Report | Volume 12 | Issue 2 | May-August 2026 | Page: 40-43 | Amandeep, Umesh Meena, Varun Goyal, Ranadeep Ghosh DOI- https://doi.org/10.13107/ijpo.2026.v12.i02.280 Open Access License: CC BY-NC 4.0 Copyright Statement: Copyright © 2026; The Author(s). Submitted: 27/03/2026; Reviewed: 21/04/2026; Accepted: 09/06/2026; Published: 10/08/2026 Authors: Amandeep [1], Umesh Meena [1], Varun Goyal [1], Ranadeep […]

Removal of Broken Retrograde Rush Rod from Tibia: A Technical Tip

A Rare but Preventable Injury: Surgical Management of Traumatic Achilles Tendon Tear Caused by Glass-coated Kite String (Chinese Manja) in a Child – A Case Report

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Removal of Broken Retrograde Rush Rod from Tibia: A Technical Tip

DOI- https://doi.org/10.13107/ijpo.2026.v12.i02.284

Open Access License: CC BY-NC 4.0

Submitted: 14/04/2026; Reviewed: 07/05/2026; Accepted: 11/06/2026; Published: 10/08/2026

Authors: Tariq Mir [1], Anoop Mavila [1]

[1] Department of Paediatric Orthopaedics Unit, Paras Health, Durganag, Dalgate, Srinagar, Jammu and Kashmir, India.

Address of Correspondence

Dr. Tariq Altaf Mir,
Department of Paediatric Orthopaedics Unit, Paras Health, Durganag, Dalgate, Srinagar, Jammu and Kashmir, India.
E-mail: mirtariqaltaf@gmail.com

Abstract

Broken rush rods within the tibia present a challenging scenario for orthopedic surgeons, particularly when the retrograde inserted nails break at the ankle or distal tibial level, and the distal fragment remains embedded with the tibial canal. This technical tip outlines a practical and reproducible method for the removal of a broken rush rod using minimally invasive principles and avoiding iatrogenic complications.

Keywords: Broken rush rod, tibia.

References

1. Joseph B, Mathew G. Management of congenital pseudarthrosis of the tibia by excision of the pseudarthrosis, onlay grafting, and intramedullary nailing. J Pediatr Orthop 2000;9:16-23.
2. Joseph B, Rebello G, Kant BC. The choice of intramedullary devices for the femur and the tibia in osteogenesis imperfecta. J Pediatr Orthop B 2005;14:311-9.
3. Shah H, Rousset M, Canavese F. Congenital pseudarthrosis of the tibia: Management and complications. Indian J Orthop 2012;46:616-26.
4. Hak DJ, McElvany M. Removal of broken hardware. J Am Acad Orthop Surg 2008;16:113-20.

How to Cite this Article: Mir T, Mavila A | Removal of Broken Retrograde Rush Rod from Tibia: A Technical Tip | International Journal of Paediatric Orthopaedics | May-August 2026; 12(2): 47-49.

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A Rare but Preventable Injury: Surgical Management of Traumatic Achilles Tendon Tear Caused by Glass-coated Kite String (Chinese Manja) in a Child – A Case Report

DOI- https://doi.org/10.13107/ijpo.2026.v12.i02.280

Open Access License: CC BY-NC 4.0

Submitted: 27/03/2026; Reviewed: 21/04/2026; Accepted: 09/06/2026; Published: 10/08/2026

Authors: Amandeep [1], Umesh Meena [1], Varun Goyal [1], Ranadeep Ghosh [1]

[1] Department of Orthopaedics, Government Medical College, RK Puram, Kota, Rajasthan, India.

Address of Correspondence

Dr. Ranadeep Ghosh,
Department of Orthopaedics, Government Medical College, RK Puram, Kota Rajasthan, India.
E-mail: ranadeepghosh9@gmail.com

Abstract

Introduction: Acute traumatic Achilles tendon tear is very uncommon in the pediatric population. This injury is particularly important in the current era due to the increasing and widespread use of glass-coated kite strings (manja). The Achilles tendon lies superficially with minimal soft-tissue protection, making it particularly vulnerable to sharp kite string injuries. This case highlights the rarity of this injury pattern, an emerging and preventable cause of trauma in developing countries, and its effective surgical management.
Case Report: We report the case of a 12-year-old male who sustained a traumatic distal Achilles tendon laceration near its insertion after a glass-coated kite string became entangled around his ankle while running. This resulted in a deep wound over the Achilles tendon with complete transection. The patient was successfully treated with primary tendon repair using non-absorbable sutures with the Krackow technique following thorough wound irrigation and debridement.
Conclusion: Traumatic Achilles tendon laceration caused by kite string injury is a rare but preventable serious condition. Early recognition and timely surgical intervention are crucial. Primary repair using non-absorbable sutures with the Krackow technique provides strong tendon approximation, promotes early healing, and effectively restores tendon continuity when combined with meticulous wound irrigation and debridement.
Keywords: Traumatic tendoachilles, paediatrics.

References

1. Ashebo LB, Stevens AC, MacAlpine EM, Wittstein JR, Bradley KE, Lawrence JT. Achilles tendon injuries in the pediatric population. J Pediatr Orthop 2023;43:e513-8.
2. Singh D, Aryala S. Kite string injury: An unusual cause of extensive ankle trauma with vascular injury. Indian J Vasc Endovasc Surg 2022;9:319-21.
3. Singh RK, Kumar V, Mishra B, Halagiri SM, Singh A. Kite string (manja) injury: Rare presentations of common entity leading to disability. Acta Sci Surg Res 2022;1:10-2.
4. Bansal A, Goyal S, Kumar A. Kite string (manjha) injuries in children: An ongoing and preventable public health problem. Injury 2022;53:3550-6.
5. Sharma R, Sodhi KS, Khandelwal N. Pattern and severity of kite string injuries during festive seasons: A recent trauma center experience. Indian J Pediatr 2023;90:356-61.
6. Patel NM, Ganley TJ. Evaluation and management of acute Achilles tendon injuries in children and adolescents. J Pediatr Orthop 2022;42:e820-6.
7. Verma A, Singh V, Gupta P. Kite string injuries as a preventable cause of pediatric trauma: Need for stricter regulation and awareness. J Fam Med Prim Care 2024;13:890-5.

How to Cite this Article: Amandeep, Meena U, Goyal V, Ghosh R | A Rare but Preventable Injury: Surgical Management of Traumatic Achilles Tendon Tear Caused by Glass-coated Kite String (Chinese Manja) in a Child – A Case Report | International Journal of Paediatric Orthopaedics | May-August 2026; 12(2): 40-43.

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