Work

Nail-Retaining Derotation Osteotomy for Subtrochanteric Fracture Malunion: A Case Report and Review of the Literature

Year: 2025

Type: article

Abstract: Rotational malalignment is relatively common after intramedullary nailing of femoral fractures and may lead to significant clinical symptoms. Comminution, inherent differences in femoral version, and the absence of reliable clinical markers make achieving anatomical rotational reduction challenging, even for experienced surgeons. Various methods have been described to surgically correct rotational deformities, depending on the time elapsed since the original surgery and whether the fracture has already united. Both open and closed techniques have been used, along with different types of osteosynthesis hardware. We present a case of a subtrochanteric fracture malreduction fixed in 30° of internal rotation, which was corrected through an open femoral osteotomy using a Gigli saw while retaining the original nail three months after the index operation. This operative approach yielded optimal results in our case.

Source: Cureus

DOI: 10.7759/cureus.95506

Authors: Ioannis G Spyrou, Meletis Rozis, Iordanis Varsamos, Spyros G Pneumaticos

Institutions: National and Kapodistrian University of Athens, KAT General Hospital of Attica

Language: English

Topic: Bone fractures and treatments

Subfield: Epidemiology

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: diamond

OpenAlex ID: W4415585757