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Extraction of the broken nail will be needed in the revision surgery. Closed exchange nailing is becoming now one of the preferred methods to treat nonunion of fracture tibia and femur. Closed removal of the broken distal nail can be a very hard task to achieve. Multiple techniques had been described to extract a broken distal piece of the nail, yet the procedure still can be very challenging and the commonly used methods and tools can fail to extract the broken part. In this paper, we are reviewing the different techniques to extract a broken nail, classifying them into different subsets, and describing a new technique that we used to remove a broken tibial nail with narrow canal. Pubmed and Google scholar search for words (broken nail, extraction, and removal) and cross-referencing were used to review the methods of nail extraction.
