title: Bent intramedullary femoral nail: surgical technique of removal and reconstruction.
abstract: A secondary high-velocity trauma to a previously stabilized femoral fracture with intramedullary nailing is rare. In this paper, we present the management of a 40-year-old man presented with a bent intramedullary nail due to secondary trauma. A lateral longitudinal femoral osteotomy was used for the resection of the distorted nail. The femur was reconstructed with a new nail, and the fixation of the osteotomy was achieved with plate and cerclage wires. Five months postrevision surgery, callus formation was evident and the patient regained a normal range of motion and gait, walking with a single cane.
authors.affiliation: 1st Department of Orthopaedics, Athens University Medical School, University of Athens, ATTIKON University General Hospital, 1 Rimini Street, Chaidari, 12462 Attica, Greece.
authors.forename: Vasileios I
authors.initials: VI
authors.lastname: Sakellariou
authors.forename: Stamatis
authors.initials: S
authors.lastname: Kyriakopoulos
authors.forename: Helias
authors.initials: H
authors.lastname: Kotoulas
authors.forename: Ioannis P
authors.initials: IP
authors.lastname: Sofianos