The Cortical Step Sign Fails to Prevent Malrotation of a Nailed Femoral Shaft Fracture : A Case Report

الملخص EN

Intramedullary nailing has become the treatment of choice for diaphyseal femur fractures.

Malrotation is a well-recognized complication of femoral nailing.

Various techniques including the cortical step sign (CSS) have been described to minimize iatrogenic rotational deformity during femoral nailing.

We present a case in which the use of the CSS resulted in a clinically significant malrotation requiring revision.