Femur Non Union

Discussion in 'Face Plant' started by gatling, Jan 20, 2013.

  1. sandsman

    sandsman I ride more than some and less than others.

    Joined:
    Jul 26, 2011
    Oddometer:
    542
    Location:
    Greenville, Tx
    I went thru a whole year of surgeries due to a fibula non union fracture about 2 inches above the ankle. I also had bone grafting done too. The doctor ordered a bone stimulator and I used it 2 times a day, for about 4 months......fantastic results, unit was about $5,000, but workers comp paid for it all, I have a $300,000 lower left leg.

    This is how th first doctor screwed up my leg.
    [​IMG]

    He told me it was 90 to 95% healed and never showed me a xray. I came unglued when I found out how he screwed me up.
    I had gotten to the point I was wanting it amputated, 2nd doctor fixed the mess, took all of 2011, cost my carreer as a aircraft mechanic since now I have major nerve damage and that is mostly the problem,

    This is it fixed.

    [​IMG]
    #21
  2. Dr. Greg

    Dr. Greg Tryin' to get home..

    Joined:
    Nov 19, 2005
    Oddometer:
    1,292
    Location:
    ABQ, New Mexico
    Having broken my left femur, that's not fun. Sorry to hear about yours.

    Anyway, re "non-unions," I broke my left humerus (M/C crash) a few years back; it was plated and I was told "no heavy lifting." Well, it didn't hurt too much so I started riding my pushbike a little too soon, as it turned out.

    Started hurting like hell: two screws had come out and were floating around in there. They had to replate it; this time I took a little more care. It healed the second time around.

    --Doc
    #22
  3. godwinmt

    godwinmt They call me Crash

    Joined:
    Jul 26, 2011
    Oddometer:
    740
    Location:
    Seymour, IN
    I shattered about 2.5 inches of my left tibia when a pickup truck broadsided me as he turned into the side of me heading into a yard...:huh...My orthopedic surgeon ended up removing the shattered bone and installing an IM nail down the center of my tibia with 3 screws up top and 2 in the bottom to keep everything aligned. At the time of the fracture, he replaced the removed bone with antibiotic packed bone cement which stayed in the joint for about 8 weeks while I was on crutches before I could get in for a bone graft.


    Because of the huge amount of bone that was missing, we opted to not remove bone from my pelvis to replace it, and instead decided to use cadavar bone mixed with Infuse (yeah the spinal lawsuit stuff :evil) to replace what bone was missing. The amount the bone has grown with it has been truly amazing. Here's an x ray ~6 weeks after the graft:

    [​IMG]


    I had the graft back at the beginning of November, and was still on crutches through the first week or so of the year. I started walking with a cane ~2 weeks ago, and at the moment, should be able to get around full time for the most part without it by the end of the week. Infuse is epic stuff, and although it's technically off label, you may ask your ortho about it as a stimulant to get the bone growing again. My fracture was an interesting use of it, but the fact that the bone doesn't want to grow back is what it was designed for in your case. It'd definitely be worth checking out.

    -M
    #23
  4. Ruffus

    Ruffus Dirty Old Mudder

    Joined:
    Jan 22, 2006
    Oddometer:
    4,101
    Location:
    Fort Erie,Ontario
    I had a femur non union after 4 failed surgeries I went to a different surgeon outside my region. He cut off 18 mm for a fresh bone on bone start. Used an adhesive called Cryptonite (sp?) & in his own word's (magic pixie dust) to promote bone growth & healing. Plate snapped in two after 4th surgery & being cleared to return back to work, I was walking around with the only thing holding my leg together was muscle & gristle. When the same doc who fucked up the first 4 said let's get you in for surgery #5, First thing I did was look for a better doctor. Had to use crutches & a zimmer splint until I found one. Didn't know the plate broke until after I saw the new surgeon & had xray's taken again. Felt sick to my stomach just seeing the Xray & thinking that I was walking around (in great pain & at work when the plate snapped) I hobbled out of work in a foot of snow, dragged myself into my Jeep using the cage & could barely keep pressure on the gas peddle by the time I got 1\2 way home. Called my wife to have my crutch's ready & bring them out. Doubted I'd make it into the house without them.
    #24
  5. sandsman

    sandsman I ride more than some and less than others.

    Joined:
    Jul 26, 2011
    Oddometer:
    542
    Location:
    Greenville, Tx
    My 2nd dr used all kinds of stuff on my non union fracture. He used stem cells from my bone and other places that I don't even remember, mixed it with some magic bone putty and packed it in and around the break, then used an ultrasonic bone stimulator 2X a day for about 4 months.......now about 2 years out from this, other than alot of nerve damage....i'm pretty good.
    #25
  6. burmbuster

    burmbuster Long timer

    Joined:
    Oct 16, 2007
    Oddometer:
    1,432
    Location:
    South East USA
    My oldest son has suffered the same. Bone would not mend. It has to do with blood flow. They ended up taking bone chips from his hip and packed them into the fracture. It then healed properly. He had the same thing happen. plates with screws the first time then he broke it again. The rod did the trick. Both breaks were MX related. It must not be too bent because you are not an amputee. I have heard from our Ortho that if it bends too bad they can't get it out. You could lose the leg if it affects blood flow.
    #26
  7. mitch

    mitch Long timer

    Joined:
    Dec 16, 2002
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    Location:
    Townsville ,Queensland, Australia
    Get Wikipeda to search for IIizarov apparatus, it worked well for me :clap. Thinking about it, it may not work on a femur, mine was lower leg, still it may be worth talking to an Ortho about it. Good luck.
    #27