PMC4895866_01
Initial bone graft placement to fill IM nail tract. A-B, AP and Lateral radiographs of proximal tibia show bone graft material filling the proximal portion of the IM rod tract, with some pieces in the adjacent soft tissues.
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This was accomplished without complication and the proximal tibial defect was filled with a combination of synthetic bone void filler (chronOS, Synthes (USA), Paoli, PA) and demineralized bone matrix (Figure 1 A-B, Figure 1 C-D).
Initial bone graft placement to fill IM nail tract. C-D, AP and Lateral radiographs of the distal tibia show the distal portion of the IM nail tract with distal locking screw tracts.
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The distal portion of the intramedullary nail track also contained the same dense granular material, but the bone graft material was not present proximally (Figure 2 A-B, Figure 2 C-D).