this patient was a 30 year old male with h/o RTA. he sustained closed fracture femur . patient was treated( else where) with k nail and encirclage wires.. One month after surgery encirclage were removed . when he came after 6 months of surgery at over centre he was not able to walk.His knee was completely stiff. This was his x ray picture. His CRP was negative and ESR was 30. there was 4 cm shrtening of lower limb.
patient was explined for illizarove fixator but he refused in favour of exchange nailing and bone grafting.
We have operated him doing exchange nailing and bone grafting.MUA done for knee stiffness and we got 30 degree of movement. Patient was kept on CPM after 15 days and he got upto 90 degree rom.
At 1 month follow up patient was walking full weight bearing .5 cm shoe raise was given to him.There was no pain at fracture site. X ray wae showing callus formation.
