case_images: PMC3926292_01
case_images: Preoperative images of the right diaphyseal Winquist and Hansen type II femur fracture. Note the lateral butterfly fragment, and the relatively transverse fracture through the medial cortex.
case_images: CRIM.ORTHOPEDICS2014-301723.001.jpg
case_images: PMC3926292_01_CRIM.ORTHOPEDICS2014-301723.001.jpg
case_images: fig1
case_images: The fracture had a small lateral butterfly fragment, with otherwise a simple transverse fracture through the medial cortex, Winquist and Hansen Type II fracture (Figure 1).
case_images: Anteroposterior CT scout image of the right femur. The cortical widths of the medial proximal and distal fragments appear to be equal.
case_images: CRIM.ORTHOPEDICS2014-301723.002.jpg
case_images: PMC3926292_01_CRIM.ORTHOPEDICS2014-301723.002.jpg
case_images: fig2
case_images: On the antero-posterior scout CT image the cortical widths of the medial proximal and distal fragments were equal (Figure 2).
case_images: Axial cuts through femoral neck and condyles. Modified Jeanmart technique revealed 15  of external rotation of the right femur relative to the unaffected left femur.
case_images: CRIM.ORTHOPEDICS2014-301723.003.jpg
case_images: PMC3926292_01_CRIM.ORTHOPEDICS2014-301723.003.jpg
case_images: fig3
case_images: However, applying the technique described by Jeanmart et al. to the axial cuts of the same CT scan, we measured a rotational deformity of 15  external rotation for the right femur (Figure 3).
case_images: Intraoperative photograph illustrating the position of the Steinmann pins to achieve the necessary rotational correction.
case_images: CRIM.ORTHOPEDICS2014-301723.004.jpg
case_images: PMC3926292_01_CRIM.ORTHOPEDICS2014-301723.004.jpg
case_images: fig4
case_images: In the axial plane, the distal Steinmann pin was inserted in 15  of external rotation relative to the proximal one (Figure 4).
case_images: Anteroposterior and lateral radiographs illustrating adequate callus formation at the fracture site at time of final followup.
case_images: CRIM.ORTHOPEDICS2014-301723.005.jpg
case_images: PMC3926292_01_CRIM.ORTHOPEDICS2014-301723.005.jpg
case_images: fig5
case_images: He made an uncomplicated recovery thereafter (Figure 5).