case_images: PMC8545563_01
case_images: Plain radiograph shows the nail protruded through distal femur.
case_images: CRIOR2021-5587325.001.jpg
case_images: PMC8545563_01_CRIOR2021-5587325.001.jpg
case_images: fig1
case_images: 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.
case_images: Plain radiograph shows the feature of chronic osteomyelitis over femur shaft.
case_images: CRIOR2021-5587325.002.jpg
case_images: PMC8545563_01_CRIOR2021-5587325.002.jpg
case_images: fig2
case_images: 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.
case_images: The protruded nail through medial femoral condyle, after debridement.
case_images: CRIOR2021-5587325.003.jpg
case_images: PMC8545563_01_CRIOR2021-5587325.003.jpg
case_images: fig3
case_images: She underwent removal of the K-nail, utilizing a new anterior medial parapatellar approach incision via the knee (Figure 3).
case_images: X-rays of left femur post K-nail removal.
case_images: CRIOR2021-5587325.004.jpg
case_images: PMC8545563_01_CRIOR2021-5587325.004.jpg
case_images: fig4
case_images: Postoperative radiograph revealed the area of lucency at the healed fracture site, removed nail track, and osteopenic bone (Figures 4 and 5).
case_images: X-rays of left knee post K-nail removal.
case_images: CRIOR2021-5587325.005.jpg
case_images: PMC8545563_01_CRIOR2021-5587325.005.jpg
case_images: fig5
case_images: Postoperative radiograph revealed the area of lucency at the healed fracture site, removed nail track, and osteopenic bone (Figures 4 and 5).
case_images: X-rays left femur at 6 months follow-up.
case_images: CRIOR2021-5587325.006.jpg
case_images: PMC8545563_01_CRIOR2021-5587325.006.jpg
case_images: fig6
case_images: Plain radiography (Figure 6) at 6 months is still suggestive of intramedullary chronic osteomyelitis without any new pathologic fracture seen.