E.J. Wall, V. Jain, V. Vora, C.T. Mehlman, and A.H. Crawford reply:
The malunion rate associated with titanium nails in our study was 23.2%; however, the overall malunion rate (for both titanium and stainless steel nails) was 15%. Ho et al. reported malunion rates ranging from 17% to 24%, depending on the duration of follow-up1.
Although the manufacturer of the titanium nail has suggested subsequent nail removal, they do not provide guidelines for the timing of the removal. In the …
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