[Ortho] Distal femur non union

[orthoforum на weborto.net]

Mark Brinker's group published a very thought-provoking article in a 
recent (<6 mos) J.O.T. that showed significant metabolic abnormalities 
in patients with nonunions that "should have" otherwise healed, as this 
"should have". (they had specific criteria for inclusion in the 'should 
have' group). I forget the exact distribution of abnormalities but they 
included most frequently Vitamin D deficiency, abnormalities of calcium 
and parathyroid function, and some other metabolic problems.

Bottom line in my opinion: be sure this young healthy kid is thoroughly 
worked up metabolically before any more surgery.

Jeff

PS - I can send the .pdf of that article if you want to see it.
Jeff Brooks