[Ortho] Distal femur non union

[orthoforum на weborto.net]

 >significant metabolic abnormalities in patients with nonunions

Interesting, but does this 16 y o patient (who apparently healed all his 
other fxs) meet the criteria for metabolic/endocrine screening
suggested in the Brinker article "Metabolic and Endocrine Abnormalities 
in Patients with Nonunions: Have We Been Missing the Boat?" See 
http://www.hwbf.org/ota/am/ota07/otapa/OTA070315.htm

Also see exchange nailing comments of Bob Winquist and Mike Chapman
from OTA BFC http://www.hwbf.org/ota/bfc/chapm/ft012.html

and if that doesn't work, another Brinker article to consider - 
"Ilizarov compression over a nail for aseptic femoral nonunions that 
have failed exchange nailing: a report of five cases." JOT 2003
Nov-Dec;17(10):668-76.
http://www.ncbi.nlm.nih.gov/sites/entrez?cmd=Retrieve&db=pubmed&dopt=AbstractPlus&list_uids=14600565&query_hl=2

Bill Burman, MD
HWB Foundation
http://www.hwbf.org