Recurrent rotational deformity of the femur after static locking of intramedullary nails

Christian Krettek, Theodore Miclau, Michael Blauth, Ronald W. Lindsey, Christian Donow, Harald Tscherne

Research output: Contribution to journalArticle

23 Scopus citations

Abstract

Rotational deformity following intramedullary nailing may cause symptoms and require surgical correction by osteotomy. Reamed, locked intramedullary nailing may be performed, but concern about cortical blood supply and potential pulmonary dysfunction from reaming have led many surgeons to limit this and use smaller diameter nails. Slotted nails are commonly used but are less stiff in torsion than the newer unslotted nails, particularly at the lower diameters. We report two cased of recurrent femoral rotational deformity after using statically interlocked slotted intramedullary nails to correct existing femoral rotational deformities. These patients show that small diameter statically interlocked femoral nails with diminished bone-nail contact must be stiff enough in rotation to avoid potential recurrence.

Original languageEnglish (US)
Pages (from-to)4-8
Number of pages5
JournalJournal of Bone and Joint Surgery - Series B
Volume79
Issue number1
DOIs
StatePublished - Jan 1 1997
Externally publishedYes

ASJC Scopus subject areas

  • Surgery
  • Orthopedics and Sports Medicine

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