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Unacceptable shortening
3%
21/817
Osteonecrosis of the femoral head
0%
1/817
Malunion
4%
32/817
Persistent pain and irritation at the nail insertion site
68%
553/817
Rotational malalignment
24%
196/817
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Several large clinical studies have shown that the most common problem after elastic nailing of a femoral shaft fracture is persistent pain and irritation at the nail insertion site. Unacceptable shortening and malunion are very rare in a 7-year-old patient. Rotational malalignment also is unusual. Osteonecrosis has been reported in solid antegrade nailing but not with elastic nailing of femoral shaft fractures in skeletally immature patients.
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