Malrotation of the femur after comminuted fracture during locked intramedullary nailing may be minimized with the use of the inherent anteversion of a second-generation nail in patients with normal anteversion, according to recently published results.

Rahul Vaidya, MD, and colleagues assessed rotation in 52 patients with comminuted femoral shaft fractures treated with locked intramedullary nailing using either the patellar shadow and lesser trochanter (traditional group; n=27) or by using the Espinoza technique (n=25). Researchers performed CT scanography to determine femoral anteversion and length in the normal vs. operated femur.