[Ortho] Distal femur non union

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Dear Carel
This is a true atrophic pseudoartrosis (without pain).
This fracture have a two factors failure combination.
The  mechanical factor failure and the biological factor failure.
The solution need a combination of treatments which give solutions for 
each factor failure.
Change the intramedular nail for a lateral plate LCDCP
Decortication  plus bone graft
Flavio Restrepo