Knee arthropathy due to distally migrated Kuntscher nail: a case report

Abstract

Background: The aim of this article is to report a complication that was common with Kuntscher unlocked intramedullary nail to remind surgeons of its existence even in this era of improved implant design and to consider it as an etiology in knee pathology.

Patients and Methods: The history, physical findings, results of investigations and past medical history of the presenting patient were reviewed with relevant literature.

Results: This is a report of a the existence of this condition in our environment and its usual management in a 34year old lady who presented in the Orthopedic clinic with features suggestive of right knee arthropathy. She had surgical removal of the implant through the knee; post-operative assessment was good with normal knee range of motion.

Conclusion: Knee arthropathy due to distal migration of K-nail can still be encountered even when the use of the implant is obsolete. Young and upcoming Orthopedic Surgeons should consider it as an etiology.

Keywords: Arthropathy, Kuntscher nail, distal migration, knee function