King Fahd Hospital -Madina Munawrah-Orthopedic Surgery Department
Nonunited Fracture Femur
with shortening and broken Nail
22 years old male involved in RTA since 2 years resulted in fracture lt. femur. He was operated by closed interlocking nailing. The surgery went smooth with no complications. Later on the fracture ended with non union and shortening 5 cm . X-ray showed that the nail was broken at the level of 2nd proximal screw HOLE . The distal screws were broken as well.
The patient is walking unaided with no pain at the fracture site.
This case raises many questions :
Why the fracture did not unit ?
What is the cause of nail breakage ?
How to remove this nail ?
what is the best way to solve the problem ?
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