case_images: PMC3504200_01
case_images: Mechanical failure of the initial internal fixation two weeks postoperatively.
case_images: CRIM.ORTHOPEDICS2011-614509.001.jpg
case_images: PMC3504200_01_CRIM.ORTHOPEDICS2011-614509.001.jpg
case_images: fig1
case_images: Revision of initial internal fixation with static intramedullary nailing and bone allografts.
case_images: CRIM.ORTHOPEDICS2011-614509.002.jpg
case_images: PMC3504200_01_CRIM.ORTHOPEDICS2011-614509.002.jpg
case_images: fig2
case_images: Bone allografts were also placed on the fracture site (Figure 2). 
case_images: Radiographic image showing refracture of the femoral shaft and a bending deformation of the intramedullary nail.
case_images: CRIM.ORTHOPEDICS2011-614509.003.jpg
case_images: PMC3504200_01_CRIM.ORTHOPEDICS2011-614509.003.jpg
case_images: fig3
case_images: Plain radiography revealed a refracture of the femoral shaft and a bending deformation of the intramedullary nail (Figure 3). 
case_images: Surgical technique. (a) A proper osteotomy was performed as to facilitate the creation of a longitudinal bone window along the anterolateral side of the distal part of the femoral shaft. The osteotomy extended from the fracture site distally to the greater trochanter. (b) Anterolateral window of the femoral shaft approximately 2 cm in width. (c) Removal of the intramedullar nail through the window. (d) Reattachment of the bone window, after the placement of a new reconstruction nail, which was secured by a buttress plate (Accord) and cerclage wires.
case_images: CRIM.ORTHOPEDICS2011-614509.004.jpg
case_images: PMC3504200_01_CRIM.ORTHOPEDICS2011-614509.004.jpg
case_images: fig4
case_images: The osteomized bone strip window was secured with a special buttress plate (Accord, Smith & Nephew, Inc., Memphis, Tenn, USA) stabilized by cerclage wires (Figures 4(a)-4(d)). 