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Extraction of a Bent Tibial Nail After Refracture

A Case Report

McChesney, Grant R. MD1; Gurbani, Barkha N. MD, MPH1; Hagedorn, John C. II MD1

doi: 10.2106/JBJS.CC.18.00385
Case Reports

Case: A 65-year-old man previously treated by intramedullary nailing for a left tibial shaft fracture presented 6 years later with an open refracture of his left tibia after a motorcycle accident. Treatment required extraction of the bent nail before revision nailing.

Conclusions: Extraction of deformed intramedullary devices is a skill that will continue to be demanded of orthopaedic surgeons. In this case, standard extraction though the entry point proved successful. Standard extraction offers the safest form of removal and should be contemplated before considering more morbid methods of extraction while examining the fracture's morphology and the device's deformity.

1Department of Orthopaedic Surgery and Rehabilitation, University of Texas Medical Branch, Galveston, Texas

E-mail address for G.R. McChesney:

Investigation preformed at The University of Texas Medical Branch, Galveston, Texas

Disclosure: The Disclosure of Potential Conflicts of Interest forms are provided with the online version of the article (

Copyright © 2019 by The Journal of Bone and Joint Surgery, Incorporated
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