Abstract
Bone growth around titanium intramedullary nails is well recognized, and can add to the difficulties encountered during its removal. We describe a case where removal of the nail was complicated by bony ingrowth inside the nail's dynamic locking hole, eight months after removal of the interlocking screw. Adequate insertion of the extraction screw was prevented by this bony ingrowth which was acknowledged after successful removal of the nail using Ipswich Extractor System. The extraction was also initially obstructed by this bone bridging into the nail. Bone growth into empty proximal interlocking holes should be anticipated before removal of intramedullary nails. Possible solutions are discussed.
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