title: Successful management of atrophic nonunion of a severely osteoporotic femoral shaft in a child.
abstract: We present a case illustrating the successful use of a conventional intramedullary rod and vascularized iliac crest graft in atrophic nonunion combined with severe osteoporosis of the femoral shaft in a child, in whom classical osteosynthesis failed after two operations. The conventional intramedullary rod offered excellent purchase in the severely porotic, partially destroyed bone. Combined with a vascularized iliac crest grafted laterally, mechanical support and an osteoinductive stimulus were provided. The atrophic nonunion healed completely after this revision surgery.
authors.affiliation: Department of Orthopedics, The General Hospital of PLA, Lanzhou, People's Republic of China.
authors.forename: Ping
authors.initials: P
authors.lastname: Zhen
authors.forename: Hao
authors.initials: H
authors.lastname: Lu
authors.forename: Min-xuan
authors.initials: MX
authors.lastname: Gao
authors.forename: Xu-Sheng
authors.initials: XS
authors.lastname: Li
authors.forename: Tian
authors.initials: T
authors.lastname: Qi
mesh_terms: D001858:Bone Nails; D016025:Bone Transplantation; D002648:Child; D005260:Female; D005264:Femoral Fractures / Q000000981:diagnostic imaging / Q000601:surgery*; D005594:Fracture Fixation, Intramedullary / Q000379:methods*; D017102:Fracture Healing; D005599:Fractures, Ununited / Q000000981:diagnostic imaging / Q000601:surgery*; D006801:Humans; D007085:Ilium / Q000098:blood supply / Q000637:transplantation*; D058866:Osteoporotic Fractures / Q000000981:diagnostic imaging / Q000601:surgery*; D011859:Radiography; D020127:Recovery of Function; D016896:Treatment Outcome