Case Reports in Orthopedics (Jan 2014)

The Cortical Step Sign Fails to Prevent Malrotation of a Nailed Femoral Shaft Fracture: A Case Report

  • Taranjit Tung,
  • Ted Tufescu

DOI
https://doi.org/10.1155/2014/301723
Journal volume & issue
Vol. 2014

Abstract

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Intramedullary nailing has become the treatment of choice for diaphyseal femur fractures. Malrotation is a well-recognized complication of femoral nailing. Various techniques including the cortical step sign (CSS) have been described to minimize iatrogenic rotational deformity during femoral nailing. We present a case in which the use of the CSS resulted in a clinically significant malrotation requiring revision.