title: Removal of a bent tibial intramedullary nail: a rare case report and review of the literature.
abstract: Intramedullary interlocking nailing is a gold standard for treatment of tibial shaft fractures. Bending of a nail secondary to trauma is a rare complication, which may be encountered in healed or unhealed tibial shaft fractures. Removal of such bent nail is always a challenge. We reported this case to discuss various techniques for removal of bent nails and to share our experience in removing a bent tibial intramedullary nail in a 30-year-old man, who was admitted in our department with re-fracture of the right tibial shaft due to a roadside accident two years after the initial surgical treatment. The intramedullary nail, bent by 30 degrees and visible on anterioposterior as well as on lateral radiographs, was firstly weakened by partially cutting the convex wall, then straightened by applying external force, and finally removed by using the standard nail removal method.
authors: Department of Orthopaedics, Post Graduate Institute of Medical Education and Research, Chandigarh 160012, India.
authors: Sameer
authors: S
authors: Aggerwal
authors: Ashwani
authors: A
authors: Soni
authors: Uttam-C
authors: UC
authors: Saini
authors: Nitesh
authors: N
authors: Gahlot
mesh_terms: D000328:Adult; D020878:Device Removal; D005594:Fracture Fixation, Intramedullary; D006801:Humans; D008297:Male; D013978:Tibial Fractures / Q000601:surgery*