A bent intramedullary (IM) nail becomes challenging and
technically demanding to the orthopaedic surgeon for nail
extraction. A broken nail can be easily removed through the
fracture site. However, a bent nail has to be broken before it
can be removed. Several studies and case reports outline the
strategies and techniques for removing a bent IM nail.
However, there is a paucity of guidelines and standard
protocol describing the best and inexpensive strategy. We
report a case where two years following surgery for
intramedullary nailing of the right femur, the IM mail was
bent following secondary trauma. We used a technique based
on the principles of an ability to fully cut the nail and extract
it in two pieces by using a Jumbo cutter which is available in
the orthopaedic armamentarium. This technique is simple yet
economical, with the likelihood of causing less soft tissue
damage and thermal necrosis.