AI Article Synopsis
- Intramedullary nailing is the preferred surgical method for fixing long bone fractures in the lower leg, but it can lead to rare complications like periprosthetic fractures from additional trauma.
- A 51-year-old man, with a history of knee surgery using a tibiofemoral nail, suffered a work-related injury that resulted in a fractured proximal tibia and a bent nail.
- The patient experienced significant limb deformity and a length discrepancy, but was successfully treated by straightening the nail during surgery, allowing him to return to work within three months.
Article Abstract
: Intramedullary nailing is considered the gold standard for the surgical management of diaphyseal long bone fractures of the lower extremity. A rare complication following intramedullary nailing of a femur or tibia fracture is periprosthetic fracture following secondary trauma with deformation of the nail itself. We present a case of a 51-year-old male with a long history of prior left knee arthrodesis with a tibiofemoral nail who sustained a work injury resulting in a proximal tibia fracture and bent tibiofemoral nail. Clinically, he presented with significant varus and procurvatum limb deformity and a six-centimeter limb length discrepancy. The patient was successfully managed with in situ straightening of the tibiofemoral nail under a general anesthetic with return to work three months following manipulation. IV.
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Source |
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| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC8259186 | PMC |
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