HomeAnswersOrthopedician and Traumatologyfemur fractureMy daughter's operated left femur was slightly bent inside. Why?

What happens if the nail placed during femur surgery moves from its fixation and brings any problems?

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The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.

Answered by

Dr. Atul Prakash

Medically reviewed by

iCliniq medical review team

Published At April 30, 2022
Reviewed AtJanuary 19, 2024

Patient's Query

Hello doctor,

My daughter's left femur was fractured in an accident. Pediatric orthopedics were planned for surgery with nails three years back. Now we doubt that her operated left femur was slightly bent inside. She is currently taking calcium tablets. Her past medications are tablet Brufen 200 mg, capsule BonDk 60K and tablet Shelcal. Please help.

Answered by Dr. Atul Prakash

Hi,

Welcome to icliniq.com.

I understand your concern.

The X-rays look fine (attachment removed to protect the patient’s identity). The nails are supposed to be bent such that the bone can be straight. What about the other view? Please attach that X-ray for further diagnosis.

Patient's Query

Hi doctor,

Thank you for your reply. I attached the mentioned X-ray.

Answered by Dr. Atul Prakash

Hi,

Welcome back to icliniq.com.

I understand your concern.

The bone has a natural curvature on the view you sent the second time (attachment removed to protect the patient’s identity). I can reassure you that the X-rays are normal, and the fixation is good. I would be pleased with the fixation had I done it myself. If the wound has healed fine, the fracture will also heal in six to ten weeks.

I hope this helps.

Patient's Query

Hi doctor,

Thanks for your reply.

Her leg was bending outside after the surgery. But now, she always puts her leg bent inside. What if the nail is moved from its fixation and brings any problems in her future? I am worried. Please help.

Answered by Dr. Atul Prakash

Hi,

Welcome back to icliniq.com.

I understand your concern.

Now I get it, having seen the picture of the leg and thigh (attachment removed to protect the patient’s identity). I entirely agree now with your concern. There is an external rotation at the fracture site, and this is a problem if, clinically, the rotation is more than a few degrees. When you said bending, I thought about the overall alignment, but rotation was what you meant. I will be as concerned as you are. I suggest you visit your treating surgeon about this, and he will be able to assess the degree of external rotation at the fracture site. I suggest if the rotation is more than five degrees, re-do surgery is needed.

I hope this helps.

Same symptoms don't mean you have the same problem. Consult a doctor now!

Dr. Atul Prakash
Dr. Atul Prakash

Orthopedician and Traumatology

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