[Ortho] Distal femur non union

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An Ilizarov apparatus is useful for such nonunions. it is more elastic 
than the other implants giving it a compressive effect with full weight 
bearing. A corticotomy above and a few cm of bone transport will help 2 
fold - compression across fracture site and resotration of blood supply 
by neovascularization. the construct can be 3 rings. two above the 
fracture and one below, and the corticotomy between 1st and 2nd rings.
best wishes


Shital Parikh, MD
2769352165