[ORT-L] Distal femur non union


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[ORT-L] Distal femur non union

j.c.goslings at amc
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Nov 26, 2007, 9:18 AM

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[ORT-L] Distal femur non union	Can't Post

A question for the list members.

16 yr old boy, high energy motorcycle trauma trauma in July 2005 with:
- hip dislocation + acetabular fracture L
- distal femoral fracture L
- tibial shaft fracture L
- metatarsal fractures L

Treatment:
july 05: LISS femur, LCP plate tibia, double recon. plate post. acetabulum
oct 05: cancellous bone graft femur
aug 06: blade plate + bone graft
nov 06: revision blade plate
feb 07: retrograde nail + bone graft + BMP
may 07: dynamisation nail
sept 07: locking screw removal (max. dynamisation reached)
nov 07: persistant non-union distal femur; other fractures healed uneventfully.
All with gradual/partial weightbearing etc. Currently 50-100% weight bearing, no pain.
Soft tissues are intact. No smoking or diabetes.
CRP <2

What would you do?

Kind regards,
Carel Goslings
Trauma Unit AMC
Amsterdam, NL

Attachments:

1 - july 05.jpg (39.4 KB)