Intramedullary nailing (IMN) is a standard orthopedic procedure for treating fractures in the lower extremity. While IMNs are generally effective, rare complications, such as nail bending, can present challenges for both patients and surgeons. This article presents a case report of a patient with a bent intramedullary nail in the lower extremity and provides a comprehensive literature review on the management of this unusual complication. By examining the reported cases and available literature, we aim to enhance the understanding of bent IMNs and offer insights into the most effective removal techniques and postoperative considerations.