Friday 14 June 2013

supracondylar nonunion in 62 year old RA patient

This case was  refered for opinion by a colleague from india. Any advise is welcome.
 
My suggestion would be to go for cemented Rotating hinge with distal femoral reaplacement if the nonunion is confirmed intraop. In case there is evidence of  significant stable union I would consider a stemmed,sleeved varus valgus contrained knee aiming for 10 to 15 year survival

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