OK, since voting was 5:0 for antegrade, the case has just been managed this way. Fixator appeared to be in malrotation about 40 degrees. Though some difficulties were met with gainig of proper length and pushing the nail beetwen parts of the comminuted fragment, the result seems satisfactory. THX!
I would like to know if 1) the proximal fragment was reamed, 2) which nail was used solid or cannulated and the size? 3) were you not worried about the potential for infection while doing nailing straightaway on removal of the fixator, 4) why not post the postop Xray.
Regards
V M Iyer
. Iyer Orthopaedic Centre,
103,Railway lines Solapur.413001.