title: Recurrent fracture after operative treatment for a tibial stress fracture.
abstract: We report a patient with a recurrent stress fracture and subsequent nonunion around an intramedullary nail placed for treatment of a more proximal, chronic tibial stress fracture. After 9 months of failed nonoperative treatment, we performed an exchange intramedullary nailing with open bone graft. At 8 months postoperatively, the patient showed clinical and radiographic signs of healing.
authors.affiliation: Department of Orthopaedic Surgery, University of Pennsylvania, Philadelphia 19104, USA.
authors.forename: Nirav K
authors.initials: NK
authors.lastname: Pandya
authors.forename: David
authors.initials: D
authors.lastname: Webner
authors.forename: Brian
authors.initials: B
authors.lastname: Sennett
authors.forename: G Russell
authors.initials: GR
authors.lastname: Huffman
mesh_terms: D000328:Adult; D001858:Bone Nails; D015775:Fractures, Stress / Q000601:surgery*; D006801:Humans; D008297:Male; D012008:Recurrence; D013978:Tibial Fractures / Q000601:surgery*