J Korean Orthop Assoc.  1998 Feb;33(1):121-126.

Malrotation Deformity Following Intramedullary Nailing in Femoral Shaft Fracture - Does True Neutral Rotation of the Distal Fragment Prevent the Deformity?

• Yang KH
• Han DY
• Shin DE
• Jeong JH

Abstract

We performed a prospective study to see if positioning of the distal fragment in true neutral rotation could prevent the malrotation deformity following closed locked intramedullary nailing in femoral shaft fracture. True neutral rotation was ohtained hy aligning the posterior margins of both femoral condyles to the floor with the image intensifier. Four patients out of forty-one ( forty-three nailing ) developed the malrotation deformity of more than 15 degrees. Since true neutral rotation of the distal fragment alone can not prevent malrotation cleformity, femoral anteversion of normal side (if possible) must be checked beforehand and that of fractured side must be traced during the nailing procedure.

Keyword

Femur; Intramedullary Nailing; Malrotation

MeSH Terms

Congenital Abnormalities*
Femur
Fracture Fixation, Intramedullary*
Humans
Prospective Studies