title: Ilizarov correction of malrotated femoral shaft fracture initially treated with an intramedullary nail: a case report.
abstract: Ideally, acquired femoral malrotation as a complication of intramedullary nailing of a femoral shaft fracture should be identified and corrected early in the course of treatment. In this report, we present a previously undescribed precise surgical technique for acutely correcting an acquired femoral malrotation deformity 20 days after fixation of a femoral shaft fracture with a statically locked intramedullary nail. An llizarov external fixator was used intraoperatively to correct a 27 degree femoral malrotation deformity in a 19-year-old man.
authors.affiliation: Center for Problem Fractures and Limb Restoration, Fondren Orthopedic Group, Texas Orthopedic Hospital, Houston, Texas 77030, USA.
authors.forename: Mark R
authors.initials: MR
authors.lastname: Brinker
authors.forename: Joseph J
authors.initials: JJ
authors.lastname: Gugenheim
authors.forename: Daniel P
authors.initials: DP
authors.lastname: O'Connor
authors.forename: Jeffrey C
authors.initials: JC
authors.lastname: London
mesh_terms: D000328:Adult; D001858:Bone Nails; D005264:Femoral Fractures / Q000503:physiopathology / Q000601:surgery*; D005594:Fracture Fixation, Intramedullary / Q000009:adverse effects*; D006801:Humans; D018889:Ilizarov Technique; D008297:Male; D012399:Rotation