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Following Multiple Failed Reconstructions of a Distal Femur Fracture, Osseous Union Achieved After Superficial Femoral Artery Endarterectomy

Shane Johns, William Curtis and Rick Gehlert
Ochsner Journal November 2024, DOI: https://doi.org/10.31486/toj.24.0058

Article Figures & Data

Figures

  • Figure 1.
    Figure 1.

    (A) Anteroposterior and (B) lateral radiographic films show the left femur following the first reconstruction after the motor vehicle collision in 2012.

  • Figure 2.
    Figure 2.

    (A) Anteroposterior and (B) lateral radiographic films show hardware failure of the proximal plate with supracondylar nonunion occurring 16 months after the first open reduction and internal fixation procedure. This hardware failure was the first of five.

  • Figure 3.
    Figure 3.

    (A) Anteroposterior and (B) lateral radiographic films at final evaluation, more than 7 years after the patient's initial injury and after superficial femoral artery endarterectomy, show osseous healing of the distal femur with no signs of hardware loosening.

  • Figure 4.
    Figure 4.

    Timeline demonstrates the series of operations from the initial injury in 2012 to the final reconstruction in 2019.

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