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AP and Lateral:
Bone grafting (RIA technique) is noted at the nonunion fracture site with trace periosteal new bone formation at the medial tibial cortex consistent with healing.
An intramedullary nail is transfixed with two proximal and two distal screws and shows no evidence of hardware failure or loosening. There are old healed fracture deformities at the fibular shaft. Mild to moderate distal diffuse osteopaenia.