In Case 1, the radiographs made at nine months showed a dystrophic nonunion
and plate failure. There was no mention of weight-bearing status, suspected
nonunion, or any bone-grafting techniques performed at the time of plating.
The reader has no information regarding when weight-bearing was begun and at
what point full weight-bearing was allowed by the surgeon.In Case 2, the radiographs show segmental bone loss. Seven weeks after the
injury, the patient underwent bone-grafting with autogenous bone combined with
allograft croutons. Progressive weight-bearing was allowed at four months. The
question arises if this fracture was healed or if the surgeon failed to
diagnose the nonunion. If the fracture was healed, the plate would not have
broken. The first reduction of the fracture is anatomic, whereas the second
reduction is in valgus.