Use of inherent anteversion of an intramedullary nail to avoid malrotation in femur fractures

Chris Espinoza, Ashoke K. Sathy, Daniel S. Moore, Adam J. Starr, Charles M. Reinert

Research output: Contribution to journalArticle

10 Scopus citations


Rotational malalignment after intramedullary (IM) nailing of femoral fractures remains a significant problem. A technique using intraoperative fluoroscopy and the anteversion inherent to the IM nail for obtaining appropriate femoral rotational alignment is presented. The technique is advocated as a simple alternative to more complex methods for estimation of femoral anteversion during placement of femoral IM nails. This method is simple and requires intraoperative fluoroscopy on the injured extremity alone. It reliably sets the femoral anteversion within a normal physiologic range with minimal additional intraoperative steps and without preoperative measurements.

Original languageEnglish (US)
JournalJournal of Orthopaedic Trauma
Issue number2
Publication statusPublished - Feb 2014



  • femoral nailing
  • femoral rotation
  • femur fracture
  • rotational malalignment

ASJC Scopus subject areas

  • Surgery
  • Orthopedics and Sports Medicine

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