PMC8545563_01
Plain radiograph shows the nail protruded through distal femur.
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fig1
Plain radiography confirmed the distal migration of Kuntscher nail into the left knee (Figure 1) as well as fracture union, but features suggestive of intramedullary chronic osteomyelitis (Figure 2) as well.
Plain radiograph shows the feature of chronic osteomyelitis over femur shaft.
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fig2
Plain radiography confirmed the distal migration of Kuntscher nail into the left knee (Figure 1) as well as fracture union, but features suggestive of intramedullary chronic osteomyelitis (Figure 2) as well.
The protruded nail through medial femoral condyle, after debridement.
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She underwent removal of the K-nail, utilizing a new anterior medial parapatellar approach incision via the knee (Figure 3).
X-rays of left femur post K-nail removal.
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Postoperative radiograph revealed the area of lucency at the healed fracture site, removed nail track, and osteopenic bone (Figures 4 and 5).
X-rays of left knee post K-nail removal.
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Postoperative radiograph revealed the area of lucency at the healed fracture site, removed nail track, and osteopenic bone (Figures 4 and 5).
X-rays left femur at 6 months follow-up.
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Plain radiography (Figure 6) at 6 months is still suggestive of intramedullary chronic osteomyelitis without any new pathologic fracture seen.