Ilizarov correction of malrotated femoral shaft fracture initially treated with an intramedullary nail: a case report.

Ideally, acquired femoral malrotation as a complication of intramedullary nailing of a femoral shaft fracture should be identified and corrected early in the course of treatment. In this report, we present a previously undescribed precise surgical technique for acutely correcting an acquired femoral malrotation deformity 20 days after fixation of a femoral shaft fracture with a statically locked intramedullary nail. An llizarov external fixator was used intraoperatively to correct a 27 degree femoral malrotation deformity in a 19-year-old man.