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A 38-year-old male presents to clinic with right thigh pain ongoing for 3 months status post cephalomedullary nail. The index procedure was performed for a proximal femur fracture that occurred secondary to a low velocity GSW. The patient denies any new trauma or acute changes. The patient denies feeling ill or signs/symptoms of infection. This is a 2-Part Case: Part 1 is titled: Proximal Femur Fx s/p GSW in 38M - Part 1: Fracture and can be found at https://www.orthobullets.com/Site/Cases/View/cffda5ed-7dac-4016-b5dd-242887eb685f)
PMH
Unremarkable
PE
Focused physical exam of the right lower extremity demonstrates a healed GSW entry point anteriorly. Prior incisions from percutaneous nail placement are well healed without erythema or drainage. He is neurovascularly intact.
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Revision cephalomedullary nailing with cerclage cable, femoral head allograft/PDGF augment placed in fracture and hydroset injected into lag screw defect