Abstract
Removal of Distally Migrated Cannulated Interlocking Tibial Nail Using Schanz Screw: A Case Report
Highlights
Intramedullary interlocking nailing is the gold standard in the management of diaphyseal tibial fractures[1]
Interlocking nails occasionally do fail in their function of stabilizing the fractures to ensure optimal healing or can fail after healing has taken place thereby calling for removal of implant
Distal migration of intramedullary nails is only reported in relation to Kuntscher nails, where reasons like; fracture comminution, distally based oblique fractures, premature weight bearing and narrow nails 2mm less in diameter compared to the isthmus of the tibia as the reasons for nail migration[3]
Summary
Intramedullary interlocking nailing is the gold standard in the management of diaphyseal tibial fractures[1]. Interlocking nails occasionally do fail in their function of stabilizing the fractures to ensure optimal healing or can fail after healing has taken place thereby calling for removal of implant. Reasons for removal ranges from; symptomatic implants, skeletally immature patients, broken implants, compromised skin, non-union after fixation, malunion, infection with instability, fear of carcinogens, migrated nails and patients’ request[19]. Distal migration of intramedullary nails is only reported in relation to Kuntscher nails, where reasons like; fracture comminution, distally based oblique fractures, premature weight bearing and narrow nails 2mm less in diameter compared to the isthmus of the tibia as the reasons for nail migration[3]. Most migrations are seen in long standing nails following osteosynthesis[3].
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