“…Karladani et al 1 followed 71 patients treated with intramedullary nails, and found that anterior knee pain was relieved in 39 patients after removal of the nails, but it became worse in 18 patients, indicating that the operation was not always harmless. Whalley et al 2 reported some complications such as removal failure and postoperative infection and/or refracture, suggesting that there is still some controversy regarding the necessity of, and indications for, nail removal. Therefore, we designed a prospective study to explore the indications for and complications of intramedullary nail removal after tibial fracture repair using interlocking intramedullary nails.…”