Extraction of a Bent Tibial Nail After Refracture: A Case Report

Grant R. McChesney; Barkha N. Gurbani; John C. Hagedorn

doi:10.2106/JBJS.CC.18.00385

Extraction of a Bent Tibial Nail After Refracture: A Case Report

Grant R. McChesney, Barkha N. Gurbani, John C. Hagedorn

Orthopaedic Surgery & Rehabilitation

Research output: Contribution to journal › Article

Abstract

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.

Original language	English (US)
Pages (from-to)	e0385
Journal	JBJS case connector
Volume	9
Issue number	3
DOIs	https://doi.org/10.2106/JBJS.CC.18.00385
State	Published - Jul 1 2019

ASJC Scopus subject areas

Surgery
Orthopedics and Sports Medicine

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title = "Extraction of a Bent Tibial Nail After Refracture: A Case Report",

abstract = "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.",

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AU - Gurbani, Barkha N.

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N2 - 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.

AB - 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.

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