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Review Question - QID 5628

Tibial Shaft Fractures Complications Nonunion (no healing at 9 months) QID: 5628 (OBQ14.218)
In scope icon L 2 A
QID 5628 (Type "5628" in App Search)
A 40-year-old man is thrown off his motorcycle and sustains an open Type IIIA fracture shown in Figure A. He is taken to the operating room for debridement and reamed intramedullary nailing with a 10mm diameter nail. He returns at 10 months with persistent pain at the fracture site with ambulation. Examination reveals healed wounds with no erythema, warmth or tenderness. Erythrocyte sedimentation rate and C-reactive protein levels are within normal limits. Radiographs taken at that time are shown in Figure B. What is the next best treatment step?
  • A
  • B
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  • A
  • B