DOI: 10.36347/sjmcr.2015.v03i08.012

Pages: 689-692

Tibial and femoral shaft fractures are now being treated by intramedullary interlocking nailing which is now considered as gold standard for the treatment of such types of fractures. Secondary trauma usually leads to bending of the nail. This complication, which itself is rare-one, is more commonly seen with femoral fractures as compared to tibial fractures. It has always been a, tough question to answer, how to remove such bent nails. In this paper, we are presenting this case to discuss different techniques for removal of bent nails and to share our experience of the management of a 30-year-old man who presented with a bent intramedullary femoral nail due to secondary trauma just one month after primary fixation. We were able to straighten the nail to some extent first by applying external force on the convex side of the deformity, and then we used the standard nail removal technique to remove the nail. Reconstruction of the femur was done with an Lc-DCP. Callus formation was visible five months after revision surgery, and the patient was able to attain a normal range of motion and gait, walking with a single cane.