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Fig. 5 | Journal of Orthopaedic Surgery and Research

Fig. 5

From: J-bone graft with double locking plate: a symphony of mechanics and biology for atrophic distal femoral non-union with bone defect

Fig. 5

Surgical procedure and radiographic findings of a 39-year-old female patient. a The original internal fixation device is exposed. b The original internal fixation device is removed. c The lateral plate is fixed on the outside of the femur. d Image shows the J-bone graft before press-fit insertion. e Image shows the fenestration in the non-union of medial distal femur. f Image shows the tap J-bone graft on the medial side of the distal femur. g Image shows the medial plate protection J-bone. h The DP is grafted with J-bone. i Non-union is seen 10 months following surgery. j The plate is exchanged and grafted with a J-bone. k Three months following grafting, union is achieved. DP double-plate

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