Bone disease

Diagnosis and suggests best treatment Chief Complaints Patient left femar fracture and joint occur wrong . now pain on waking and x ray shows this

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Look like a pseudoarthrosis type non union There will be some fibrous union Some walk with support Very unstable because of up and down movements of fracture ends Need freshening of fracture ends Nailing preferably Iliac Crest bone grafting There could be adaptive shortening of muscles too

Malunited old fracture of femur. Badly treated. Needs expert orthopaedic surgeon opinion for further surgical intervention like reconstructive surgery.

It is an old malunited fracture of femur probably treated by a private bone setter.Needs reconstructive surgery by an expert ortho surgeon

Malunited fracture shaft femur upper third with shortening of limb Open reduction with internal fixation

Need sugery Plating under spinal anaesthesia

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