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Bouaicha W, Jlidi M, Sioud A, Mallek K, Nouicer S, Jaziri S, Achref A, Daas S. Surgical management of tibia refracture with a bent intramedullary nail: A case report and review of the literature. SAGE Open Med Case Rep 2024; 12:2050313X231225338. [PMID: 38205142 PMCID: PMC10777793 DOI: 10.1177/2050313x231225338] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/08/2023] [Accepted: 12/19/2023] [Indexed: 01/12/2024] Open
Abstract
Intramedullary nailing is the gold standard for long bone fractures in the lower limbs. Fractures of the tibia with bending of the intramedullary nail is a very uncommon complication. Removing a bent nail is an unpredictable and challenging procedure for any trauma surgeon. We report the case of a 34-year-old man presenting a refractured tibia with a bent intramedullary nail following a motor vehicle accident. We describe the management of this patient as well as a substantial review of the literature to depict the peculiarities of this entity compared to its more commonly reported femoral counterpart. When approaching a deformed tibia nail, standard extraction techniques should be attempted and are more likely to be successful than in deformed femoral nails.
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Affiliation(s)
- Walid Bouaicha
- Department of Orthopedics and Traumatology, Mohamed Taher Maamouri Hospital, Nabeul, Tunisia
- Faculty of Medicine of Tunis, University of Tunis El Manar, Tunis, Tunisia
| | - Mohamed Jlidi
- Department of Orthopedics and Traumatology, Mohamed Taher Maamouri Hospital, Nabeul, Tunisia
- Faculty of Medicine of Tunis, University of Tunis El Manar, Tunis, Tunisia
| | - Amine Sioud
- Department of Orthopedics and Traumatology, Mohamed Taher Maamouri Hospital, Nabeul, Tunisia
| | - Karim Mallek
- Department of Orthopedics and Traumatology, Mohamed Taher Maamouri Hospital, Nabeul, Tunisia
| | - Saffet Nouicer
- Department of Rheumatology, Mohamed Taher Maamouri Hospital, Nabeul, Tunisia
| | - Salma Jaziri
- Department of Anesthesia and Intensive Care, Mohamed Bourguiba Hospital, Kef, Tunisia
- Faculty of Medicine of Tunis, University of Tunis El Manar, Tunis, Tunisia
| | - Abdennadher Achref
- Department of Orthopedics and Traumatology, Military Hospital of Instruction, Tunis, Tunisia
- Faculty of Medicine of Tunis, University of Tunis El Manar, Tunis, Tunisia
| | - Selim Daas
- Department of Orthopedics and Traumatology, Mohamed Taher Maamouri Hospital, Nabeul, Tunisia
- Faculty of Medicine of Tunis, University of Tunis El Manar, Tunis, Tunisia
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