Eight weeks post-cement spacer removal, the patient received an RIA bone graft from the right femur. Despite bacterial growth in micro samples, a six-week antibiotic course was completed. X-rays show promising progress, and the patient is mobilising unaided for short distances, using a stick for longer walks. No clinical signs of infection.
After 27 months, the fracture has clinically united. The patient successfully removed connectors between the second and third ring and can walk without additional pain. The next step is frame removal, followed by discussions on removing cement remnants and applying bone graft.
Patient’s activity level continues to improve, still using crutches for mobility. Pin sites remain stable. The frame has been dynamised to allow vertical movement, with a review scheduled in four weeks to assess alignment.
Patient’s activity level has improved significantly, with no major pin site issues apart from one broken pin, which was removed in the clinic. CT scan confirms further progress toward union. Follow-up in six weeks to assess frame dynamisation.
Knee stability has improved, and pain is subsiding. Pin sites remain in good condition, with X-rays showing continued progress toward union. A CT scan is planned in two months to confirm further healing.