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a Closed tibial fracture at the site of a previous malunion in a 50-year-old man. The first fracture was treated conservatively 25 years ago. b Slight bending of the IM nail during its insertion was noted intraoperatively. c After 4 months, dynamization of the nail by removal of proximal screws was performed due to inadequate callus formation. d, e At 8 months postoperatively the fracture was united
