Diagnosis
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Radiological Findings & Diagnosis
These are post-operative X-rays of the right femur, dated 29 June 2026, labelled "X-ray Hip with Thigh AP."
Findings Across All Three Views
Image 1 (lateral/oblique view - distal limb):
- Tibial intramedullary (IM) nail in situ with 2 proximal and 2 distal interlocking screws
- Displaced oblique/spiral fracture of the distal fibula (conservatively managed - no plate)
- Good tibial alignment maintained by the nail
Image 2 (AP view - knee/distal femur):
- Retrograde femoral IM nail spanning the distal femoral shaft
- 4 distal interlocking screws in the femoral condyles/metaphysis (2 horizontal + 1 oblique + 1 at metaphysis)
- 2 proximal interlocking screws in the mid-shaft
- Healing distal femoral metadiaphyseal (supracondylar) fracture - bridging callus present, indicating progressing bony union
- Preserved knee joint space; no intra-articular step-off visible
Image 3 (AP view - hip to thigh, right femur):
- Continuation of the same retrograde femoral IM nail visible along the full femoral shaft
- Distal locking screws visible at the supracondylar level
- Comminuted fracture pattern at the distal femoral diaphysis/metaphysis confirmed
- Proximal femur appears intact (no hip fracture or proximal hardware)
Diagnosis
Post-operative right distal femoral fracture (supracondylar/metadiaphyseal) - in healing phase
- Fracture classification: Likely AO/OTA 33-A or 33-C (distal femoral fracture, possibly comminuted/extra-articular based on the callus pattern)
- Surgical fixation: Retrograde femoral intramedullary nail with distal and proximal interlocking screws
- Status: Healing well - bridging callus visible with maintained reduction and alignment
The additional fibular fracture in Image 1 may represent a concurrent injury, or those images may belong to a different limb/time point (the header on image 3 specifies "Right Femur" while image 1 shows a tibia/ankle construct).
Note: This is an image interpretation for educational/clinical support purposes and does not replace formal reporting by a qualified radiologist or the clinical judgment of the treating orthopaedic surgeon.
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