Femur Case Study

Success with EXOGEN

Patient Story

  • 47-year-old female
  • Tripped on uneven pavement
  • Right reverse obliquity subtrochanteric femur fracture

Source of Patient Case
Michael Prayson, MD
Professor and Vice Chair
Dayton, OH

Risk Factors

  • Smoking history
  • Obesity
  • Fracture pattern

Initial Fracture

Initial History

  • Right reverse obliquity subtrochanteric femur fracture

Post-Op

Post-Op

  • Post-op locked cephalomedullary nailing
  • Persistent pain/lack of healing
  • Underwent nail dynamization at 9 months post-injury

11 Months Post-Injury

11 Months Post-injury

  • CT scan shows persistent hypertronphic nonunion
  • Hardware and fracture stable
  • EXOGEN prescribed

3 Months of EXOGEN Use
14 Months Post-injury

3 Months of EXOGEN Use
14 Months Post-injury

  • Nonunion healed
  • Symptoms resolved
  • Additional surgery avoided

38%

accelerated healing of indicated* fresh fractures2,3

86%

high nonunion† heal rate4

91%

clinically proven high treatment compliance12

20min

treatment fits easily into your patients' day

Tibial Case Study

Success with EXOGEN

Patient Story

  • 53 year-old female school principal
  • History of nonunion for prior midfoot deformity correction

Source of Patient Case
Robert Anderson, MD
OrthoCarolina Foot & Ankle Institute
2001 Vail Avenue, Suite 200B
Charlotte, NC 28207

Initial History

  • Tibia fracture at external fixation pin site
  • Closed reduction with long-leg cast
  • Non-weight bearing

Initial Fracture

3 Months

  • No progression of healing
  • Nonunion diagnosis
  • EXOGEN prescribed
  • Remained in long-leg cast

5 Months

5 Months

  • Progressed to short-legged walking cast
  • Significant bony healing

7 Months

7 Months

  • Nonunion healed
  • Additional bone healing evident
  • Surgery avoided

Metatarsal Case Study

Success with EXOGEN

Patient Story

  • 20 year-old male college football player
  • History of Jones fracture
  • Two prior surgeries
  • No comorbidities

Source of Patient Case
Robert Anderson, MD
OrthoCarolina Foot & Ankle Institute
2001 Vail Avenue, Suite 200B
Charlotte, NC 28207

Initial History

  • Motor vehicle accident
  • Refractured metatarsal on right foot
  • Treated conservatively with cast and boot

Post-Op

Healed Fracture 17 weeks

3 Months

  • No progression with healing; nonunion diagnosis
  • Screw from prior surgery is bending
  • EXOGEN prescribed
  • Boot with weight bearing continued

7 Months

  • Complete union noted 17 weeks after initiating EXOGEN
  • Patient asymptomatic
  • Additional surgery avoided

8 Months

  • Patient returned to football