Hip Fracture Nonunions: Diagnosis, Treatment, and Special Considerations in Elderly Patients

Figure 3

(a) Atypical left femur fracture sustained after a fall from standing in a 58-year-old female with history of bisphosphonate use. (b) She underwent closed reduction and cephalomedullary nailing with a slightly medial start point to induce slight valgus alignment with the trochanteric proximal nail bend. (c) At 6 weeks postoperatively, she denies pain and is ambulating without assistance. Fracture alignment is maintained. (d) At 6 months, she has radiographic union and is back to all activities.

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