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. 2022 Nov 29;50(11):03000605221139667. doi: 10.1177/03000605221139667

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© The Author(s) 2022

Creative Commons Non Commercial CC BY-NC: This article is distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 License (https://creativecommons.org/licenses/by-nc/4.0/) which permits non-commercial use, reproduction and distribution of the work without further permission provided the original work is attributed as specified on the SAGE and Open Access pages (https://us.sagepub.com/en-us/nam/open-access-at-sage).

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Figure 1. — A 53-year-old man in whom a fracture of the right femoral shaft caused by a fall was internally fixed with a femoral intramedullary nail (open reduction) at a local hospital. At 1 year postoperatively, the fracture had not healed and was treated with augmentation plating leaving the nail in situ. Four years after the second operation, the fracture still had not healed (a, b). After osteoperiosteal decortication (c) and an iliac bone graft combined with wave plating, anteroposterior (d) and lateral (e) radiographs showed adequate bone grafting. Anteroposterior (f) and lateral (g) radiographs obtained 1 year postoperatively showed full fracture healing. Photographs obtained at the same times as radiographs during follow-up showing the patient’s general functional status (h, i).