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Updated: Jul 4, 2026
An Intramedullary Locking Nail for Standardized Fixation of Femur Osteotomies to Analyze Normal and Defective Bone Healing in Mice
Published on: November 13, 2016
[Intramedullary nail removal in the upper and lower limbs. Should we recommend this operation?]
K Hora1, K P Vorderwinkler, V Vécsei
1Universitätsklinik für Unfallchirurgie, Medizinische Universität Wien, Osterreich.
Background:
Absolute indications for removing intramedullary locking nails (ILN) are undisputed, but there are also relative indications when implant removal might be discussed. The aim of our study was to evaluate complications of ILN removal in the upper and lower extremities.
Methods:
Four hundred sixty (460) patients who underwent interlocking nail removal were reviewed regarding complications after removal of implants in the humerus, femur, or tibia.
Results:
The most common complications were delayed wound healing and wound infections. For the humerus, the complication rate of implant removals due to absolute indication was 29%, and the rate for removals due to relative indication was 12%. In the forearm, no complications were seen. Patients who underwent ILN removal in the femur or tibia for absolute indication had a 21% complication rate; the complication rate in patients with relative indication was 10%.
Conclusion:
The complication rate of interlocking nail removal is too high to justify such a procedure without clear indication.
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