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Journal of Long-Term Effects of Medical Implants
SJR: 0.332 SNIP: 0.491 CiteScore™: 0.89

ISSN Print: 1050-6934
ISSN Online: 1940-4379

Journal of Long-Term Effects of Medical Implants

DOI: 10.1615/JLongTermEffMedImplants.v21.i3.20
pages 193-196

Tibial Shaft Fracture after Removal of an ACE Tibial Nail

loannis Sourlas
Second Department of Orthopaedics, University of Athens, Medical School, Athens, Greece
Michalis Papadakis
Second Department of Orthopaedics, University of Athens, Medical School, Athens, Greece
Stergios N. Lallos
Second Department of Orthopaedics, University of Athens Medical School, Athens, Greece
Emmanuel Brilakis
Second Department of Orthopaedics, University of Athens, Medical School, Athens, Greece
Nikolaos E. Efstathopoulos
Second Department of Orthopaedics, Athens University Medical School, Athens, Greece

ABSTRACT

Intramedullary interlocking nailing is the gold standard method for treatment of tibial shaft fractures. Thus, the growing use of the intramedullary nailing resulted in an increased number of tibial nails removal procedures in daily clinical practice. Despite adequate surgeon experience, the removal of tibial intramedullary nails is not without complications. One of the commonly used nails is the ACE (DePuy Orthopaedics, Inc., Warsaw, IN, USA). The purpose of this paper is to report such a complication following the removal procedure and review the pertinent literature. A 39-year-old female who had sustained a lower-third tibial fracture was treated with an intramedullary nail 5 years ago. Despite her unremarkable follow-up, for personal reasons, a removal procedure was planned. Two undisplaced fractures were observed in the postoperative radiological evaluation. The potential complications of the removal of intramedullary nailing of the tibia should be considered by both physician and patient.