case_images: PMC10777793_01
case_images: Valgus deformity of the right leg.
case_images: 10.1177_2050313X231225338-fig1.jpg
case_images: PMC10777793_01_10.1177_2050313X231225338-fig1.jpg
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case_images: On clinical examination, there was an obvious deformity of the right leg (Figure 1) highly suggestive of a broken tibia.
case_images: Radiologic assessment showing a fractured tibia and fibula with the bent intramedullary nail in situ. An overall valgus deformity of approximately 25  in the frontal plane was measured on the antero-posterior view of the leg.
case_images: 10.1177_2050313X231225338-fig2.jpg
case_images: PMC10777793_01_10.1177_2050313X231225338-fig2.jpg
case_images: fig2-2050313X231225338
case_images: An overall valgus deformity of approximately 25  in the frontal plane was measured on the antero-posterior view of the leg (Figure 2).
case_images: PMC10777793_02
case_images: A well-padded bolster was fixed to the edge of the operating table at the level of the apex of the deformity. A second support against the lateral aspect of the right knee was used to counter the reducing forces (yellow arrows). A vigorous deforming force was applied on the lateral aspect of the ankle to try to straighten the bent nail (white arrow).
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case_images: PMC10777793_02_10.1177_2050313X231225338-fig3.jpg
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case_images: A vigorous deforming force was applied on the lateral aspect of the ankle to try to straighten the bent nail (Figure 3).
case_images: Control X-rays showing an acceptable reduction with good alignment.
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case_images: PMC10777793_02_10.1177_2050313X231225338-fig4.jpg
case_images: fig4-2050313X231225338
case_images: On examination of the removed nail, it was found that the deformity was brought down from 25  initially to 7  in the frontal plane (a), and there was no angulation in the sagittal plane (b).
case_images: 10.1177_2050313X231225338-fig5.jpg
case_images: PMC10777793_02_10.1177_2050313X231225338-fig5.jpg
case_images: fig5-2050313X231225338
case_images: On examination of the removed nail, it was found that the deformity was brought down from 25  initially to 7  (Figure 5).