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