Exceptionnel Complication after Intramedullary Nailing of the Tibia

Abstract

Management of tibia fractures by intramedullary nails, has become the gold standard for diaphyseal fractures. High rate of union, acceptable alignment in all planes, and a low complication rate have been reported. A 52 - year - old women with a surgical antecedent fracture of the right leg operated 20 years ago, presented to the traumatology clinic for the removal of osteosynthesis materials from the leg. There was no history of recent injury and no information was available about the patient’s subsequent progress, Examination revealed a frail old lady whose mobility was restricted by quasi complete expulsion of nail from right leg showing that blocked extension; signs of a moderately severe cellulitis over the lower part of leg. The fracture was well consolidated and showed no sign of complication radiographs showed a complete expulsion of nail proximally; we performed an ablation under spinal anesthesia with bone biopsy, who was normal at immediately after surgery, the patient was able to walk without difficulty with a walker without pain. the patient was lost sight of after. To the best of our knowledge, this is the first report of complete expulsion of nail in a patient after centromedullary nailing of the tibia.