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Updated: Mar 10, 2026

Treatment with Locking Intramedullary Nailing for Intertrochanteric Fracture of the Femur Utilizing a New Awl with a Distal Positioner
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When Nail Removal Is Not Benign: Iatrogenic Fractures Associated With Titanium Intramedullary Nail Removal
Sunil D Magadum1, Mahesh Karthik1, Ram Prasad Jasti1
1Orthopaedics, MIOT International Hospital, Chennai, IND.
Intramedullary nail removal can be complicated by bony ingrowth, leading to fractures during extraction. Careful planning and techniques are essential for safe removal of these implants.
Area of Science:
- Orthopedic surgery
- Biomaterials science
- Bone healing
Background:
- Intramedullary (IM) nailing is a common surgical procedure for long bone diaphyseal fractures.
- Bony ingrowth and osseointegration can significantly complicate the removal of IM nails.
- Nail removal is frequently indicated in younger patients for various reasons.
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