Case no.45-Delayed femur malunion and shortening treated with distraction and

exchange nailingPatient is a 43 year old male admitted with head injury and closedFracture femur shaft.Rx conservatively with skelatal traction initiially due to unstable head injury

Patient condition improved and at six weeks was brought to OR for application of

monolateral distarction frame

Distraction of fracture ends and soft tissue obtained at four weeks

Removal of fixator and immediate exchange unreamed AO solid femur nail inserted by

closed meanns

Final result-good bony union and alignment with fracture well reduced