Bent Intramedullary Femoral Nail: Surgical Technique of Removal and Reconstruction

Figure 4

Surgical technique. (a) A proper osteotomy was performed as to facilitate the creation of a longitudinal bone window along the anterolateral side of the distal part of the femoral shaft. The osteotomy extended from the fracture site distally to the greater trochanter. (b) Anterolateral window of the femoral shaft approximately 2 cm in width. (c) Removal of the intramedullar nail through the window. (d) Reattachment of the bone window, after the placement of a new reconstruction nail, which was secured by a buttress plate (Accord) and cerclage wires.