"Preventing nail migration by stack nailing in forearm fractures" - A technical note

Diaphyseal forearm fractures are typically treated with open reduction and plate fixation, which has been proven to be the most effective method in numerous trials. However, the risk of periosteal stripping, haemorrhage evacuation, nonunion, and infection is always present and may cause a delayed union and other surgical consequences. Although intramedullary nails have been mentioned in the literature for forearm bone fractures, issues regarding their common complication of nail migration, especially of the ulnar fracture, before the fracture has been consolidated is an issue, and has not been addressed. We describe a case of IM nail migration of Ulna who presented to us, during the follow up, before the fracture had consolidated. The procedure described is short and consistent with the outstanding cosmetic and functional results.