Percutaneous management of ununited femoral fracture.

We describe a percutaneous technique used for the management of non-union in a complex diaphyseal femoral fracture treated initially with intramedullary nailing. Seven months after the initial fixation, a proximal fracture gap failed to progress to union. A percutaneous procedure involving fracture gap freshening and supplementation with bone morphogenetic protein and demineralised bone matrix resulted in a satisfactory progression to union. The percutaneous procedure allowed less soft tissue insult around the fracture site, a short hospital stay, a fast return to the preoperative level of mobility and fracture union.