A corrective osteotomy for post-traumatic malrotation and shortening of the femur.
case_series · Level IV
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- Record sourced from PubMed, PMID 15561114.
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Abstract
Malrotation following femoral nailing is problematic. We describe a new one-stage technique which utilises three components; a cortico-periosteal sleeve, a "dialled-in"correction of rotation and a peg-shaped osteotomy. Seven patients were treated. The mean correction of malrotation was within 5 degrees of the normal side and the mean correction of length was within 8 mm of the normal side. Clinical union was achieved on average by 6 months (range 4-8 months). The only complication was locking screw breakage in one case. The cortico-periosteal sleeve avoids the need for bone graft, surgery is facilitated by the use of "dialled-in" correction of rotation and a peg to correct length.
Medical subject headings
- Femoral Fractures
- Osteotomy
- Postoperative Complications