case_images: PMC8464431_01
case_images: The visible nonunion with the classic plate in AP view.
case_images: CRIOR2021-3530297.001.jpg
case_images: PMC8464431_01_CRIOR2021-3530297.001.jpg
case_images: fig1
case_images: X-ray showed an atrophic nonunion after "classic" plate fixation of the distal femur fracture with bone loss (Figures 1 and 2).
case_images: The visible nonunion with the classic plate in LL view.
case_images: CRIOR2021-3530297.002.jpg
case_images: PMC8464431_01_CRIOR2021-3530297.002.jpg
case_images: fig2
case_images: X-ray showed an atrophic nonunion after "classic" plate fixation of the distal femur fracture with bone loss (Figures 1 and 2).
case_images: The nonunion with the failed classic plate in AP view.
case_images: CRIOR2021-3530297.003.jpg
case_images: PMC8464431_01_CRIOR2021-3530297.003.jpg
case_images: fig3
case_images: Classic X-ray showed plate failure and fragment dislocation (Figure 3).
case_images: The debrided nonunion with autologous cancellous bone graft stabilized with an LCP in AP view.
case_images: CRIOR2021-3530297.004.jpg
case_images: PMC8464431_01_CRIOR2021-3530297.004.jpg
case_images: fig4
case_images: The postoperative recovery was uneventful, and classic X-ray showed proper plate position (Figures 4 and 5).
case_images: The debrided nonunion with autologous cancellous bone graft stabilized with an LCP in LL view.
case_images: CRIOR2021-3530297.005.jpg
case_images: PMC8464431_01_CRIOR2021-3530297.005.jpg
case_images: fig5
case_images: The postoperative recovery was uneventful, and classic X-ray showed proper plate position (Figures 4 and 5).
case_images: The nonunion is widened, with the plate providing stability in AP view.
case_images: CRIOR2021-3530297.006.jpg
case_images: PMC8464431_01_CRIOR2021-3530297.006.jpg
case_images: fig6
case_images: X-rays showed a halt in bone healing (Figure 6), and another procedure was recommended.
case_images: The first stage of the induced membrane technique (IMT), the nonunion is partially filled with PMMA cement. The cement is encircled.
case_images: CRIOR2021-3530297.007.jpg
case_images: PMC8464431_01_CRIOR2021-3530297.007.jpg
case_images: fig7
case_images: The first stage of the induced membrane technique (operation of Masquelet) with a poly-methyl methacrylate (PMMA) cement spacer was performed: the fracture fragments were debrided, and the now widened fracture site was filled with cement (PMMA) (Figure 7).
case_images: The nonunion is readily visible, and the LCP has failed in AP view.
case_images: CRIOR2021-3530297.008.jpg
case_images: PMC8464431_01_CRIOR2021-3530297.008.jpg
case_images: fig8
case_images: She complained about the sudden onset of pain in the left femur during walking, and X-ray confirmed plate breakage (Figure 8).
case_images: The plate was removed, the nonunion was stabilized with a locked intramedullary nail (the position of the nail is secured with Poller blocking screws (marked by arrows)), and the defect was filled with a mixture of cancellous bone graft and Ca-P cement (encircled).
case_images: CRIOR2021-3530297.009.jpg
case_images: PMC8464431_01_CRIOR2021-3530297.009.jpg
case_images: fig9
case_images: The defect was filled with calcium phosphate cement (Innotere GMBH) (Figure 9).
case_images: Healing of the nonunion after nailing and dynamization in a favorable position is evident, AP view.
case_images: CRIOR2021-3530297.010.jpg
case_images: PMC8464431_01_CRIOR2021-3530297.010.jpg
case_images: fig10
case_images: Follow-up was regular, and bone healing was uneventful (Figures 10-12).
case_images: Healing of the nonunion after nailing and dynamization in a favorable position is evident, and the tip of the nail does not protrude into the abductor muscles, AP view.
case_images: CRIOR2021-3530297.011.jpg
case_images: PMC8464431_01_CRIOR2021-3530297.011.jpg
case_images: fig11
case_images: Follow-up was regular, and bone healing was uneventful (Figures 10-12).
case_images: Healing of the nonunion after nailing and dynamization in a favorable position is evident, LL view.
case_images: CRIOR2021-3530297.012.jpg
case_images: PMC8464431_01_CRIOR2021-3530297.012.jpg
case_images: fig12
case_images: Follow-up was regular, and bone healing was uneventful (Figures 10-12).