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Fig. 1 | Journal of Orthopaedic Surgery and Research

Fig. 1

From: Aseptic femoral nonunion treated with exchange locked nailing with intramedullary augmentation cancellous bone graft

Fig. 1

Sequence of exchange nailing with modified bone grafting is demonstrated. A An aseptic femoral shaft nonunion is treated. B Wider reaming is performed after removal of the prior nail. C Trochanteric cancellous bone graft is harvested through the nail inlet with a straight gouge. D Harvested cancellous bone graft is pushed at the proximal bone segment around the nonunion site. E A new locked nail is inserted

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