ORTHO
BULLETS
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Review Question - QID 217509

Distal Femur Fractures Techniques Retrograde intramedullary nail QID: 217509 (OBQ21.190)
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QID 217509 (Type "217509" in App Search)
A patient presents to the trauma bay after involvement in a motor vehicle collision. Radiographs obtained in the trauma bay demonstrate a right distal femur fracture, as seen in Figure A. In surgery, the articular block is reduced, and reduction is held with headless compression screws. A retrograde intramedullary nail is then placed. After nail advancement, a varus and recurvatum deformity is noted at the fracture site with intraoperative fluoroscopy, as demonstrated via illustrations in Figures B and C. Placement of blocking screws in which locations (A - H) from Figure B and C would help correct this deformity?
  • A
  • B
  • C
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  • A
  • B
  • C