ArticleJournal of orthopaedic case reports2025
A Rare Case of Titanium Elastic Nail Removal 7 Years after Pediatric Femoral Shaft Fracture Using a Screw Retriever Technique.
Article in Journal of orthopaedic case reports, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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6 authors.
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Abstract
Introduction: Elastic stable intramedullary nailing is a commonly used modality for the surgical stabilization of long-bone fractures in children, with routine implant removal recommended within 6-12 months. Delayed removal beyond this timeframe is uncommon and presents unique surgical challenges. We report a rare case of titanium elastic nails (TENs) removal performed 7 years after initial fixation, highlighting the technical considerations and successful outcome. Case Report: A 14-year-old female presented with discomfort in the left thigh. The patient had a history of TENs nails inserted at age 7 for a mid-shaft femoral fracture. The patient was lost to follow-up due to family circumstances. The patient had remained completely asymptomatic throughout the retention period with full functional recovery. Radiograph of the left thigh showed two TENs nails. Due to anticipated extraction difficulty from prolonged retention, a screw retriever technique was successfully employed for safe nail removal without complications. Conclusion: This case demonstrates the excellent biocompatibility of titanium implants and confirms that delayed TENs removal can be safely accomplished using specialized extraction techniques. The use of a screw retriever provides an effective solution for challenging implant removal scenarios while minimizing surgical morbidity.
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