[Ortho] Distal femur non union

[orthoforum на weborto.net]

  It should have healed with the locking plate, provided the plate was 
introduced using a minimal invasive technique.  However, once that plate 
had failed, the subsequent attempts at plate osteosynthesis ignored the 
medial buttress required, and by the time the nails were used there is 
already a gap.
At this point my choice would be a thin wire fixator (Ilizarov), 
proximal corticotomy and compression at the fracture site.
George Tomas