IJSR International Journal of Scientific Research 2277 - 8179 Indian Society for Health and Advanced Research ijsr-6-3-10302 Original Research Paper Intramedullary nail extraction of maximum number, nine ender’s nails including one broken nail from long bone of an adult patient A Rare Case Report. Asadi Dr. March 2017 6 3 01 02 ABSTRACT

 Though intramedullary nail extraction is not an uncommon procedure in orthopaedic surgery but removal of broken nail is a challenging procedure. Ender’s nail is an intramedullary device used to treat pediatric long bone fractures.These nails have poor rotational stability and multiple nails are required for fracture stability.In adults interlocking intramedullary nail is the standard implant of choice for fracture shaft of long bones.We report a rare case of 45 year old female who was operated six years ago with multiple ender’s nail stacking for fracture shaft of tibia presented with discharging sinus.She was operated upon and nine ender’s nail including one broken nail was removed successfully.With this case we want to report maximum number of intramedullary nails removed from a long bone.