Concerns About Misalignment After Femur Fracture Surgery - Orthopedics

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Issues related to femoral fracture reduction?


Hello doctor, after the femur was stabilized with a steel rod, it appears to be misaligned compared to the original bone.
Will this be a problem? Below 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: 2019/08/29

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: 2019/08/29

More Info


After a femur fracture surgery, concerns about misalignment are quite common among patients. It’s essential to understand that achieving perfect alignment during surgery can be challenging, especially in complex fractures. The femur, being the longest and one of the strongest bones in the body, plays a crucial role in mobility and weight-bearing. Any misalignment can potentially lead to complications such as improper healing, malunion (healing in an incorrect position), or even nonunion (failure to heal).

In your case, since you mentioned that the femur appears misaligned compared to the original bone structure, it’s important to discuss this with your orthopedic surgeon. They will evaluate the X-ray you provided and determine if the alignment is within acceptable limits. Typically, slight misalignments may not significantly affect function, but more severe deviations could lead to long-term issues such as joint pain, altered gait, or increased risk of arthritis in the knee or hip joints.

The healing process of a femur fracture generally takes several months, and during this time, the bone will undergo remodeling. This means that even if there is some initial misalignment, the body may compensate for it as the bone heals. However, if the misalignment is significant, your doctor may recommend further interventions, which could include physical therapy to strengthen the surrounding muscles and improve function, or in some cases, a corrective surgery may be necessary.

It’s also crucial to follow your rehabilitation program closely. Engaging in physical therapy can help restore range of motion, strength, and function. Your therapist will guide you through exercises tailored to your specific needs, focusing on gradually increasing mobility and strength while ensuring that you do not place undue stress on the healing bone.

In summary, while some degree of misalignment can be concerning, it’s essential to have a thorough discussion with your orthopedic surgeon about your specific situation. They will provide the best guidance based on your X-ray findings and overall recovery progress. Remember, patience is key during the healing process, and adhering to your rehabilitation plan will significantly contribute to your recovery and long-term outcomes. If you experience any unusual symptoms, such as increased pain, swelling, or changes in mobility, do not hesitate to reach out to your healthcare provider for further evaluation.

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