Retrograde Tibial Nail for Femoral Shaft Fracture with Severe Degloving Injury

We report an unusual case involving a motorcycle-vehicle collision, in which a 21-yearoldwoman sustained severe bilateral lower extremity degloving injuries and an associatedright femoral shaft fracture. The trauma team was consulted to treat this disastrous event.Due to extensive contamination of the open wound around the entry site, retrogradeintramedullary nailing was chosen to fix the fractured femoral shaft in preference to antegradeintramedullary nailing. A tibial interlocking nail was used as a substitute for immediatebony stabilization to facilitate soft tissue debridement and subsequent reconstruction.The excellent range of motion achieved in the right knee joint, without infection, limblengthdiscrepancy, rotational instability or angular malalignment, was encouraging.