RT Journal A1 Wall, Eric J. A1 Jain, Viral A1 Vora, Vagmin A1 Mehlman, Charles T. A1 Crawford, Alvin H. T1 Complications of Titanium and Stainless Steel Elastic Nail Fixation of Pediatric Femoral Fractures JF The Journal of Bone & Joint Surgery JO The Journal of Bone & Joint Surgery YR 2009 FD August 1 VO 91 IS 8 SP 2041 OP 2041 DO UL http://dx.doi.org/ AB 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 literature, the times of nail removal have ranged from three months to one year2-4. Metaizeau et al. recommended routine removal between three and six months after insertion4,5. It has been our experience that waiting more than six months makes removal of elastic nails difficult.