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Case Reports in Orthopedics
Volume 2016, Article ID 3045262, 4 pages
http://dx.doi.org/10.1155/2016/3045262
Case Report

Surgical Treatment of an Infected Nonunion of the Middle Third of the Femur Associated with Femoral Shortening in a Hemophilia Patient

1Istanbul Faculty of Medicine, Department of Orthopedics and Traumatology, Istanbul University, 34093 Istanbul, Turkey
2Atakent Hospital, Acibadem University, Istanbul, Turkey
3Oncology Institute, Division of Pediatric Hematology-Oncology, Istanbul University, Istanbul, Turkey
4Memorial Şişli Hospital, Istanbul, Turkey

Received 9 November 2015; Revised 10 February 2016; Accepted 22 February 2016

Academic Editor: Dimitrios S. Karataglis

Copyright © 2016 Ahmet Salduz et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

The management of nonunion and limb length discrepancy has remained a constant challenge in hemophilic patients. In this study, we aimed to present the treatment of femur infected nonunion and limb length discrepancy in a twenty-seven-year-old patient with hemophilia type A. A 27-year-old male patient with hemophilia type A referred to our institution for the treatment of right femur infected nonunion and 10 cm shortness of the femur. Resection of the nonunion site and bone-to-bone fixation with autologous bone grafting were performed. Compression to the pseudoarthrosis site and distraction from new osteotomy site were applied with the unilateral external fixator. Union was achieved, and 6 cm lengthening was obtained according to the initial length. Patient was followed up for 7 years. After this treatment, the patient is able to walk with full weight bearing on the affected extremity with 4 cm shortening which is compensated by the heel lift. The results of this case indicate that limb lengthening and treatment of nonunion with the external fixation could be reliable and effective method for hemophilic patients.