Title: Bent and Incarcerated Vnail in A Distal 1/3rd Tibia and Fibula Fracture: A Rare Case Report
Authors: Dr Abhijit Tayade, Dr Sachin Kale, Dr Sanjay Dhar, Dr Abhay Agarwal, Dr Naba Krishna Gohain
DOI: http://dx.doi.org/10.18535/jmscr/v3i9.62
Abstract
Intramedullary nailing is the gold standard technique for treatment of tibial shaft fractures. Bending of a nail secondary to high velocity trauma is a complication, encountered in healed or unhealed tibial shaft fractures. Removal of such a nail is always a challenge as the bent nail needs to be removed because it might take the shape of the nail; which is likely to become weaker and weaker as a result of the angulation and may break in future. Removal should be done as early as possible. We report this case of bent nail removal in a 47-year-old man, admitted in our hospital who sustained a fracture of the left distal 1/3rd tibia and fibula with V nail in situ due to a roadside accident.
A 47yr old male patient presented to us with pain and deformity in left leg after an alleged history of road traffic accident. Patient was a post operated case of left distal 1/3 rd tibia and fibula fracture operated with closed reduction and internal fixation with v nail 10 years ago. patient had recovered completely post operative at that time and was given above knee cast for 3 months and then started weight bearing after 3 months as advised my his previous surgeon.
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