Revision with Locking Compression Plate by Compression Technique for Diaphyseal Nonunions of the Femur and the Tibia: A Retrospective Study of 54 Cases

Figure 1

Case 35 in the aseptic group. (a) Radiograph showed the initial left femur shaft fracture. (b) Radiograph of the left femur 12 months after initial fixation showing breakage of implants (DCP) and nonunion. (c) X-rays showed the patient failed revision surgery with exchange nailing. Note the cortical defects and multiple screw holes left from previous surgeries. Prolonged nonunion and multiple surgical interventions may compromise bone quality and decrease purchase of regular cortical screws. (d) Immediate postoperative radiograph after revision surgery with compression plating and ICBG. Locking screws were used to increase purchase, and compression was performed using ATD in this case. (e) Radiograph of the left femur 8 months after revision showed healing of the fracture.

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