Pic 1. 20 years old female suffered pathological right femur fracture with biopsy was suggestive of fibrous dysplasia.
Pic 2. Patient underwent wide local excision and fixation with PFN & reverse DFLP & cement spacer insertion to fill the defect
Pic 3.Patient suffered a fall again and X-Ray showed broken nail & plate
Pic 4. Patient underwent previous broken implant and cement removal with revised PFN with cement spacer insertion
Pic 5. Patient underwent 2nd surgery with bone grafting and plating over previous nail. Intraoperatively 8cm large bone defect was found with induced membrane all around which was filled with allograft and autograft.
Postoperative X-Ray showed well fixed femur and defect filled with graft.
Patient was discharged subsequently and non-weight bearing walking allowed with support.