Removal of a Bent Tibial Intramedullary Nail Through Osteotomy and Partial Sectioning: A Case Report.

ABSTRACT

CASE An 18-year-old male patient presented with a closed fracture of the left tibia and fibula and a bent intramedullary nail after a repeat motorcycle accident. The patient was 5 weeks postoperative from intramedullary nailing of a closed left tibia fracture. The site of angulation of the tibial nail was noted to be more proximal than the fracture site. Partial sectioning of the nail through an osteotomy permitted the removal of the nail and revision tibial nailing. CONCLUSION: This is the first reported use of an osteotomy and partial sectioning during the extraction of a bent tibial intramedullary nail.