Atrophic femoral nonunion with bone loss: treatment with monorail transport: a case report.
Nonunions are an uncommon outcome of femoral fractures. Atrophic nonunions with a leg length discrepancy secondary to bone loss are often the most difficult to treat, and the treatment options are limited. We present a case that uses concomitant monolateral external fixation and intramedullary nailing to heal a nonunion and perform a simultaneous 7-cm lengthening procedure in a 33-year-old female.
University of South Carolina, Department of Orthopaedic Surgery, Columbia, SC, USA. dgay40@hotmail.com
David M
DM
Gay
Frank R
FR
Voss
D000328:Adult; D001284:Atrophy; D001852:Bone Lengthening; D005260:Female; D005264:Femoral Fractures / Q000150:complications / Q000601:surgery*; D005269:Femur / Q000473:pathology*; D005592:Fracture Fixation / Q000379:methods; D005599:Fractures, Ununited / Q000150:complications / Q000601:surgery*; D006801:Humans; D007870:Leg Length Inequality / Q000209:etiology / Q000601:surgery*