A case of corrective osteotomy for rotatory deformity occurring after fracture of the femoral diaphysis.

概要

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Recently intramedullary nailing has become popular as a surgical technique for treating fractures of the femoral diaphysis, but many reports on the complications of this technique have been published. We report a case of corrective surgery for rotatory deformity after intramedullary nailing. The patient was a 24-year-old man. He was injured because in a motorcycle accident in July 1989. We performed osteosynthesis using an Ender condylocephalic nail. Since the result of bone union was good, no further treatment was needed. We noted limitation of excursion (internal rotation 90°, external rotation 0°) because of an internal rotatory deformity at the right hip joint, when he was follow-up in April 1994. In ADL he can neither sit straight nor sit cross-legged and fregently fell down when running due to crossing of both legs. We performed correction of rotation using an Ace interlocking intramedullary nail in June 1994. We made a transverse incision at the site of the previous fracture and after correction carried out a static fixation. Post-operative results of bone union are favorable, straight sitting and cross-legged sitting have become possible and the patient is very satisfied with the results.
西日本整形・災害外科学会の論文