New Technique: A Novel Femoral Derotation Osteotomy for Malrotation following Intramedullary Nailing
A 19-year-old female patient sustained a closed spiral midshaft femoral fracture and subsequently underwent femoral intramedullary nail insertion. At followup she complained of difficulty in walking and was found to have a unilateral in-toeing gait. CT imaging revealed 30 degrees of internal rotatio...
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| Format: | Article |
| Language: | English |
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Wiley
2012-01-01
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| Series: | Case Reports in Orthopedics |
| Online Access: | http://dx.doi.org/10.1155/2012/837325 |
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| author | S. Jagernauth A. J. Tindall S. Kohli P. Allen |
| author_facet | S. Jagernauth A. J. Tindall S. Kohli P. Allen |
| author_sort | S. Jagernauth |
| collection | DOAJ |
| description | A 19-year-old female patient sustained a closed spiral midshaft femoral fracture and subsequently underwent femoral intramedullary nail insertion. At followup she complained of difficulty in walking and was found to have a unilateral in-toeing gait. CT imaging revealed 30 degrees of internal rotation at the fracture site, which had healed. A circumferential osteotomy was performed distal to the united fracture site using a Gigli saw with the intramedullary femoral nail in situ. The static distal interlocking screws were removed and the malrotation was corrected. Two further static distal interlocking screws were inserted to secure the intramedullary nail in position. The osteotomy went on to union and her symptoms of pain, walking difficulty, and in-toeing resolved. Our paper is the first to describe a technique for derotation osteotomy following intramedullary malreduction that leaves the intramedullary nail in situ. |
| format | Article |
| id | doaj-art-04281e626a9c42378dfaf93906758c6c |
| institution | Kabale University |
| issn | 2090-6749 2090-6757 |
| language | English |
| publishDate | 2012-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Orthopedics |
| spelling | doaj-art-04281e626a9c42378dfaf93906758c6c2025-02-03T05:50:20ZengWileyCase Reports in Orthopedics2090-67492090-67572012-01-01201210.1155/2012/837325837325New Technique: A Novel Femoral Derotation Osteotomy for Malrotation following Intramedullary NailingS. Jagernauth0A. J. Tindall1S. Kohli2P. Allen3Trauma and Orthopaedic Department, Royal London Hospital, North East Thames Rotation, London E1 1BB, UKQueen Elizabeth II Hospital, Woolwich, UKPrincess Royal University Hospital, Bromley, UKPrincess Royal University Hospital, Bromley, UKA 19-year-old female patient sustained a closed spiral midshaft femoral fracture and subsequently underwent femoral intramedullary nail insertion. At followup she complained of difficulty in walking and was found to have a unilateral in-toeing gait. CT imaging revealed 30 degrees of internal rotation at the fracture site, which had healed. A circumferential osteotomy was performed distal to the united fracture site using a Gigli saw with the intramedullary femoral nail in situ. The static distal interlocking screws were removed and the malrotation was corrected. Two further static distal interlocking screws were inserted to secure the intramedullary nail in position. The osteotomy went on to union and her symptoms of pain, walking difficulty, and in-toeing resolved. Our paper is the first to describe a technique for derotation osteotomy following intramedullary malreduction that leaves the intramedullary nail in situ.http://dx.doi.org/10.1155/2012/837325 |
| spellingShingle | S. Jagernauth A. J. Tindall S. Kohli P. Allen New Technique: A Novel Femoral Derotation Osteotomy for Malrotation following Intramedullary Nailing Case Reports in Orthopedics |
| title | New Technique: A Novel Femoral Derotation Osteotomy for Malrotation following Intramedullary Nailing |
| title_full | New Technique: A Novel Femoral Derotation Osteotomy for Malrotation following Intramedullary Nailing |
| title_fullStr | New Technique: A Novel Femoral Derotation Osteotomy for Malrotation following Intramedullary Nailing |
| title_full_unstemmed | New Technique: A Novel Femoral Derotation Osteotomy for Malrotation following Intramedullary Nailing |
| title_short | New Technique: A Novel Femoral Derotation Osteotomy for Malrotation following Intramedullary Nailing |
| title_sort | new technique a novel femoral derotation osteotomy for malrotation following intramedullary nailing |
| url | http://dx.doi.org/10.1155/2012/837325 |
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