[Indication for removal of tibial nails]

Abstract

Background: Tibial nail removal has been suggested as a routine procedure for both symptomatic and asymptomatic patients. The aim of this study was to define guidelines for the removal of tibial nails.

Patients and methods: A retrospective study on the isolated removal of 69 tibial nails after fracture consolidation was done. A review of the patient charts and radiographs was performed. Forty-four patients (64%) were available for the follow-up interview.

Results: Preoperatively, 26 patients (59%) had local complaints. Of these 26 patients, 73% reported an improvement, and 8% reported an aggravation of their local complaints. Of the 18 patients who were asymptomatic before surgery, 17% reported long-term complaints at follow-up.

Conclusion: We conclude that routine removal of tibial nails should be discussed critically in asymptomatic patients.