J Korean Fract Soc.
1999 Oct;12(4):833-836.
Treatment of rotational malalignment after interlocking intramedullary nailing of femur : Report of a case
- Affiliations
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- 1Department of Orthopaedic Surgery, Seoul Paik Hospital Inje University, College of Medicine, Seoul, Korea.
Abstract
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Rotational malalignment after IM nail of femur is a common problem and if the deformity is
great, may cause pain, limitation of motion, even require corrective osteotolny later. The
rotational malalignment of femur is not easy to find out during operation because prominant
landmarks is lack. We experienced 25 years old male patient with 45 of internal malalignment
of femur after IM nail at other hospital. The patient was treated by corrective osteotomy at the
fracture site and exchange nailing, but we confronted the obstacle that was remained rotatonal
unstability after slotted nailing, and we have to use additional plate fixation. This problem can
be prevented by using rigid unslotted nail.