Removal of a bent tibial intramedullary nail and exchange nailing with ipsilateral distal femur plating for an intra-articular distal femur fracture in a single setting in a young male: A rare case

The removal of a bent intramedullary (IM) nail is a technically demanding orthopedic challenge. Although methods for removing bent femoral nails are documented, reports involving bent tibial nails are rare, especially with severe angulation. We report a rare case of a 60° bent tibial intramedullary nail associated with an ipsilateral intra-articular distal femur fracture. Both conditions were managed simultaneously through a single surgical setting involving bent nail removal, exchange nailing, and distal femur plating. The outcome was successful with full functional recovery, underlining the feasibility of combined surgical approaches in complex lower limb trauma cases.