Bone Break After Removing Rod

Question

Dear Sir/Madam, my younger brother had accident on bike in Oct-2019 & his leg bone break then doctor advise to attach rod but due to feeling pain because of rod is 2 inch long in size & during walk he feels pain, so my brother consult with doctor to remove this rod then doctor agreed to remove this rod, & last month 18-Feb-2020 doctor removed his rod & bone is already jointed but on 27-march-2020 he is walking at home and suddenly he feels current in his leg at rod attaching area & cant walk anymore then we took him to the hospital & done x-ray (X-ray attached) & after x-ray doctor told that his bone already break at same area, & doctor told to again attach same rod in same area for forever, Kindly please advise us what to do, & where we will decide to done his operation again.

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Prof. Dr. M A Wajid · Answer

Need to review the pt and see why the bone fractures again. Need some tests to confirm the reason. Regards Prof M A Wajid

Dr. Malik Manzoor Hussain · Answer

What about skin condition? If all is OK, and patient is not willing for surgery, Can be managed conservative with pop

Assoc. Prof. Abdul Rauf Ch · Answer

yesÛ”after removal of hardware bone must protect for 2 to 3 weeksÛ”
protection may be with brace or splintageÛ”Û”

Dr. Malik Osama Tanweer · Answer

Agrees with Dr Wajid
Maybe some underlying metabolic disease leading to pathological fracture everytime.
Regards Dr Malik Osama

Dr. Nauman Saeed · Answer

His rod is removed too early and now he has developed hypertrophic nonunion. Best is to get surgery again with reamed nail in dynamic mode.

Dr. Abdus Saboor Awan · Answer

need to assess the patient condition, soft tissue status .. might need rod for early mobilisation

Assoc. Prof. Dr. Muhammad Arif · Answer

may need surgery

Dr. Sajid Aslam Khawaja · Answer

bone didn't heal yet or break new. He shall not put weight on this leg for 6 to 8 weeks then get x-ray yo decide. Thanks

Asst. Prof. Dr. Muhammad Humayun Hameed · Answer

Consult any good experienced Orthopeadic surgeon in your area: My plans about this patient would be : First to rule out infection ( by inspection and some blood tests ) secondly if there is no infection will go for exchange IM Rod a technical strategy and the best option to bring healing of this fracture and if there is infection then I would go for Antibiotic Rod first . I. This case Rod was malplaced and malpositioned .

Dr. Tanzeel Karamat · Answer

kindly give bone chance to heal in pop cast and regular follow-up but after getting him checked,  if no progress then can go for optn.

Assoc. Prof. Dr. Muhammad Bilal · Answer

bone is breaking again. investigating the reason is important.

Dr. Nauman A. Malik · Answer

Needs workup for non union. Meanwhile brace or splint can be given and weight bearing should be avoided.

Muhammad Inam · Answer

There is no need for surgery. He has to walk with stick and put full weight on it

Dr. Mazhar Bashir Choudray · Answer

Clinical and lab assessment is necessary
And aslo send some previous radiographs with nail and after nail removal

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