King Fahd Hospital -Madina Munawrah-Orthopedic Surgery Department

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Gap Nonunion

in a fixed Fracture Femur

A 25 years old male sustained fr. left femur since 5 years. He was operated by open retrograde intramedullary Kuntscher nailing.

During the follow up period we noticed good bridging of the medial cortex while the posterolateral cortex was absorbed gradually till it ended with these last images:

                 

CT showed the following images :

                          

               

Here are some of the follow up X-Rays:

                                                       

                                                                  

The patient is complaining of pain in his knee .

What caused this absorption of the lateral cortex  while the medial one did well ?

What to do now ?

 

 

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