Post-Surgery Leg Alignment: Concerns After Femur Fracture Repair - Orthopedics

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Femoral fracture


Is there a problem if the femur is misaligned compared to the original bone after the insertion of a steel nail? Here is the X-ray taken two and a half weeks post-surgery: https://1drv.ms/u/s!Ah0EJZCX9RDJlS9JCp8pm1KVFvv9?e=Bh2J22

Lokon, 20~29 year old female. Ask Date: 2019/08/28

Dr. You Dianqi reply Orthopedics


Hello: Your issue may require a comprehensive evaluation, including complete frontal and lateral photographs before and after surgery, a physical examination to check for any rotational problems, and an assessment of whether you are undergoing closed reduction or open reduction.
It is difficult to determine if you will have any issues based solely on one X-ray.
Thank you, and I wish you a speedy recovery.

Reply Date: 2019/08/28

More Info


After a femur fracture repair, it is not uncommon for patients to have concerns regarding the alignment of their leg, especially if they notice any deviation from the original bone structure as seen in X-rays. The alignment of the femur is crucial for proper function and mobility, and any misalignment can potentially lead to complications down the line.

Firstly, it is important to understand that during the healing process, the bone may not appear perfectly aligned on X-rays, especially in the early stages post-surgery. The body has a remarkable ability to heal, and often, slight misalignments can correct themselves as the bone heals and remodels over time. However, significant malalignment can lead to issues such as improper weight distribution, joint pain, and even the development of osteoarthritis in the long term.

In your case, since the surgery was performed only two and a half weeks ago, it is still quite early in the healing process. The initial fixation with nails or plates is designed to stabilize the fracture and allow for healing. During this time, the bone may still be in a state of adjustment, and the surrounding soft tissues are also healing. It is essential to follow your surgeon's post-operative care instructions, including any recommended physical therapy, to ensure that you regain strength and mobility without putting undue stress on the healing bone.

Regarding your specific concern about the alignment being "crooked," it is crucial to consult with your orthopedic surgeon. They will be able to assess the X-ray images and determine if the alignment is within acceptable limits or if further intervention is necessary. In some cases, if the alignment is significantly off, a corrective procedure may be required, but this is typically evaluated after the initial healing phase.

Moreover, during the recovery process, it is essential to monitor for any signs of complications, such as increased pain, swelling, or changes in sensation in the leg. These could indicate issues such as infection or complications related to the hardware used in the surgery. If you experience any of these symptoms, it is crucial to contact your healthcare provider immediately.

In summary, while it is natural to be concerned about the alignment of your leg post-femur fracture repair, it is essential to give your body time to heal. Regular follow-ups with your orthopedic surgeon will help ensure that any potential issues are addressed promptly. Remember, the healing process can take time, and patience is key. If you have any further questions or concerns, do not hesitate to reach out to your healthcare team for guidance and support.

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