PATIENT
CASE STUDIES
Femur | Tibia | Metatarsal

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