Nonunited Fracture Femur

with shortening and broken Nail

22 years old male involved in RTA since 2 years resulted in fracture lt. femur. He was operated by closed interlocking nailing. The surgery went smooth with no complications. Later on the fracture ended with non union and shortening 5 cm . X-ray showed that the nail was broken at the level of 2nd proximal screw HOLE .  The distal screws were broken as well.

The patient is walking unaided with no pain at the fracture site.

This case raises many questions :

Why the fracture did not unit ?

What is the cause of nail breakage ?

How to remove this nail ?

what is the best way to solve the problem  ?

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