Bent intramedullary femoral nail: surgical technique of removal and reconstruction.

Case Rep Orthop

1st Department of Orthopaedics, Athens University Medical School, University of Athens, ATTIKON University General Hospital, 1 Rimini Street, Chaidari, 12462 Attica, Greece.

Published: December 2012

AI Article Synopsis

  • A case study discusses a rare occurrence of a bent intramedullary nail in a 40-year-old man due to secondary trauma after a previously stabilized femoral fracture.
  • The management involved a lateral longitudinal femoral osteotomy to remove the distorted nail, followed by reconstruction with a new nail and stabilization using a plate and cerclage wires.
  • After five months, the patient showed significant recovery with callus formation and improved mobility, walking with just a single cane.

Article Abstract

A secondary high-velocity trauma to a previously stabilized femoral fracture with intramedullary nailing is rare. In this paper, we present the management of a 40-year-old man presented with a bent intramedullary nail due to secondary trauma. A lateral longitudinal femoral osteotomy was used for the resection of the distorted nail. The femur was reconstructed with a new nail, and the fixation of the osteotomy was achieved with plate and cerclage wires. Five months postrevision surgery, callus formation was evident and the patient regained a normal range of motion and gait, walking with a single cane.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3504200PMC
http://dx.doi.org/10.1155/2011/614509DOI Listing

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