Bone Graft Extruded From an Intramedullary Nail Tract in the Tibia

A 33-year-old man presented for follow up radiographs of the lower leg revealing dense material in the soft tissues of the ankle. These could be traced to a track in the adjacent tibia created by removal of an intramedullary nail and locking screws. This too contained dense bone graft material. The graft had migrated from the locking screw holes in the proximal tibia which had been filled approximately 2 months previously.