Complications associated with the Meta-Nail Tibial Nail End Cap

The Meta-Nail Tibial Nail (Smith & Nephew) was introduced to the Countess of Chester Hospital, Cheshire in October 2012. Since its introduction 10 procedures using this device have been performed. In 5 of the 10 cases complications associated with insertion of the Nail End Cap have been encountered. These include incomplete insertion of the Nail End Cap and bending of the proximal locking screw upon end cap insertion. A retrospective review of theatre radiographs and logbooks revealed a number of issues related to implant design which may benefit from improvement. Furthermore, some of the illustrations depicted in the surgical technique manual were found to be erroneous.