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What if Femur Fracture become Nonunion
(F,47) I fractured my left femur 10 months ago. doctors have done plate fixation with bone grafting because nail was not going inside my bone due to osteoporosis(as doctor said). Now after 10 months doctor said that it is non union. So I consult two more doctors. One doctor said they have to do remove the plate and re operate with nail or plate fixation and bone grafting and One doctor said that there is less chance of bone joining even after refixation. So they suggested Total Hip Replacement. I am very confused what should I do. Please see my xray and suggest me what is best. One xray is latest. One is when I fall.
Thankyou
Answers (3)
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What's the status of ur weight bearing? Do u have pain? Any signs of infection? In my opinion, if ur surgeon can insert a femoral stem in case of primary total hip replacement, then he can very well do the femoral nailing with small diameter like 8 after reaming with flexible reamer as ur canal is too narrow. Otherwise if he is planning for long stem, that may cost u more like u did for ur right hip. So before going to both of these, if ur surgeon haven't advised u about injection teriparatide u can better take that and do weight bearing as tolerated. Cannot explain everything in text. If it's feasible, try to consult.
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Dr. Rahul Kumar Pandey
Orthopedic surgeon
10 yrs exp
Lucknow
Get Hip replacement done.This will be better than re-fixation and bone grafting in your case.
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Dr. Ravikumar Chandulal Makadia
Orthopedic surgeon
6 yrs exp
Ahmedabad
Only bone grafting
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Disclaimer : The content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding your medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read on this website.