Related Experiment Video
Updated: Jun 26, 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
Removing a Retained Antibiotic Cement Nail from a Tibia: A Case Report
Zachary Mallon1, Jason Provus, Gavin Lee
1The Permanente Medical Group, Department of Orthopaedic Surgery, Vacaville, California.
Case:
We present a case of osteomyelitis after a grade 3A open tibial shaft fracture complicated by incomplete removal of an antibiotic intramedullary rod. The authors are unaware of any reports with this specific complication and provide a novel technique for cement mantle removal involving a distal tibial corticotomy and antegrade cement impaction.
Conclusion:
Antibiotic nails can successfully treat intramedullary osteomyelitis, but surgeons may encounter unexpected issues due to custom, intraoperative fabrication. This case describes one example of how to solve the intraoperative problem of a retained cement mantle during antibiotic rod extraction.
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