HealthCareMagic is now Ask A Doctor - 24x7 | https://www.askadoctor24x7.com

Get your health question answered instantly from our pool of 18000+ doctors from over 80 specialties
159 Doctors Online

By proceeding, I accept the Terms and Conditions

Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

HCM Blog Instant Access to Doctors
HCM BlogQuestions Answered
HCM Blog Satisfaction

Do I Need A Nailing Surgery For Non Union Of Femur Bone?

Hello: I broke my femur just over 10 months ago. I underwent surgery to place a rod and nails in the leg. Bone growth has been consistently slow. At my 6 month x-ray the bone growth was progressing but still very slowly and the nails were in good shape. At 10 months the bone growth was not at the level my Dr. anticipated and the nail at the knee had broken. There was good evidence of union on the one side of the break but still lots to go on the other side. I had post-operative infection and open surgical wounds for the first 6 months. I am 50, overweight and T2 diabetic (well controlled). I am to have a CT scan to get a better look at the callous formation but my Dr. has mentioned that further surgery may be required to put another nail in and to ream around the bone marrow. The thought of more surgery terrifies me. If this surgical intervention is required, what does it entail and how limited will I be after the surgery? Can it be done with a local? Thanks in advance for any info you can share.
Fri, 22 Apr 2016
Report Abuse
Physical Therapist or Physiotherapist 's  Response
Hi,

thank you for providing the brief history of you.

A thorough clinical assessment with diagnostic is advised.

With your history to understand is there are 2 factor which delayed your healing. 1. Post-operative infection and 2. High Blood sugar levels. This both has interfered in your healing. Also, the infection and high blood sugar levels are related to your weak immune system and weak metabolism from the before of the operation, so the healing is delayed.

Now , since the bone is not healing, there is one possibility to try out, that is the bone graft. As bone graft usually helps to heal in non healing fractures, provided the infection and blood glucose levels stays in control.

In my clinical practice, patients respond well to bone graft and bone healing is faster. You can discuss the same with your surgeon as this will be of choice.

Regards
Jay Indravadan Patel
I find this answer helpful

Note: For further queries, consult a joint and bone specialist, an Orthopaedic surgeon. Book a Call now.
Disclaimer: These answers are for your information only and not intended to replace your relationship with your treating physician.
This is a short, free answer. For a more detailed, immediate answer, try our premium service [Sample answer]
Share on
 

Related questions you may be interested in


Recent questions on Orthopedic surgery


Loading Online Doctors....
Do I Need A Nailing Surgery For Non Union Of Femur Bone?

Hi, thank you for providing the brief history of you. A thorough clinical assessment with diagnostic is advised. With your history to understand is there are 2 factor which delayed your healing. 1. Post-operative infection and 2. High Blood sugar levels. This both has interfered in your healing. Also, the infection and high blood sugar levels are related to your weak immune system and weak metabolism from the before of the operation, so the healing is delayed. Now , since the bone is not healing, there is one possibility to try out, that is the bone graft. As bone graft usually helps to heal in non healing fractures, provided the infection and blood glucose levels stays in control. In my clinical practice, patients respond well to bone graft and bone healing is faster. You can discuss the same with your surgeon as this will be of choice. Regards Jay Indravadan Patel