RTA in a pt with 10 year old conservative treated tibial fracture with osteopenia
Attempted fixation by surgeon revealed no hold for femoral fragments to mobilise, hence early salvage was decided to get him back to autorickshaw driving. Distal femoral replacment with circlage wiring of patella and prophylactic stimulan was inserted as the second opening of type 1 open fracture was done. Started wt bearing and mobilisation immediately aiming to get him back to work





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