Intraoperative Fluoroscopy for Correcting Rotational Malalignment After Fixation of Tibial Shaft Fracture: A Case Report

A 29-year-old man previously treated with closed reduction and intramedullary nail (IMN) fixation for a right tibial shaft fracture presented with complaint of the foot pointing outward compared with uninjured side. He was diagnosed with tibial malrotation, and a novel intraoperative imaging techniq...

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Bibliographic Details
Published inJBJS case connector Vol. 11; no. 3
Main Authors Holler, Jordan T, Kandemir, Utku
Format Journal Article
LanguageEnglish
Published United States 16.08.2021
Subjects
Adult
Fluoroscopy
Fracture Fixation, Intramedullary - adverse effects
Fracture Fixation, Intramedullary - methods
Humans
Internal Fixators
Male
Tibia - diagnostic imaging
Tibia - surgery
Tibial Fractures - diagnostic imaging
Tibial Fractures - surgery
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Summary:A 29-year-old man previously treated with closed reduction and intramedullary nail (IMN) fixation for a right tibial shaft fracture presented with complaint of the foot pointing outward compared with uninjured side. He was diagnosed with tibial malrotation, and a novel intraoperative imaging technique was used for correction. Literature suggests that the prevalence of tibial malrotation after IMN fixation is greater than previously thought. This case highlights the need for a simple and reliable intraoperative approach to guide and confirm correction of tibial malrotation after IMN fixation, and it demonstrates a technique that can be implemented with immediate results.
ISSN:2160-3251
DOI:10.2106/JBJS.CC.21.00234