Delayed femur malunion and shortening treated with distraction and exchange nailing
By: Dr Sarbjit Singh
Patient is a 43 year old male admitted with head injury and closed Fracture femur shaft.
Pre
Op
Rx conservatively with skelatal traction initiially
 due to unstable head injury
Pre
Op
Patient condition improved and at six weeks was brought to OR for application of monolateral distarction frame
Pre
Op
Distraction of fracture ends and soft tissue obtained at four weeks
Post
Op
Removal of fixator and immediate exchange unreamed AO solid femur nail inserted by closed meanns
Results
Good bony union and alignment with fracture well reduced