Removal of a bent intramedullary nail with a posttraumatic sagittal plane deformity.

High-energy injuries may result in a femur fracture with resultant bending of a previously placed intramedullary femoral nail. A bend of the nail in the sagittal plane presents unique challenges for nail extraction and subsequent exchange nailing. The described surgical technique illustrates a simple method to straighten the sagittal plane bend in situ and performs exchange nailing although maintaining symmetric femoral length and rotation.