This patient has significant malunion of the femoral shaft fracture with an angulation of approximately 30 deg. I need to get orthognal views/CT of the femur to ascertain the plane and extent of deformity. He will need removal of the bent implants, corrective osteotomy at the site of deformity and fixation with another plate/IM nail +/-bone grafting at the osteotomy site.
The shortening will improve substiantially however he still may have some residual shortening of the leg needing a heel raise.
Other potential complications would be possibility of the nonunion at the osteotomy site and implant faliure.
Dr Jayant Arora
MS(Ortho), DNB(Ortho), MRCS(Edinburgh)
Fellowship in Joint Replacement and Arthroscopic Surgery, Newcastle, UK
Senior Consultant Orthopedics and Joint Replacement Surgeon
Columbia Asia Hospital