This is to report a case of femoral fracture caused by removal of a femoral intramedullary nail. The patient was a 28-year-old male. We performed intramedullary nailing for his femoral shaft fracture with an interlocking femoral nail made of stainless steel with fluted structure and roughened surface. The nail was removed 2 years and 5 months later, and fresh fracture lines were found in the postremoval radiograph. We suspected there existed problems with the structure of the intramedullary nail as well as late removal of the nail.
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