Fig. 3
From: Bone void filler materials for augmentation in comminuted fractures: a comprehensive review
Lateral shoot-through X-rays of the left femur show severe comminution with sharp spicules involving the distal diaphyseal shaft, characteristic of high-energy trauma. Management of this type of unstable fracture typically involves intramedullary locked nailing, with augmentation using PMMA and autologous bone grafts to enhance mechanical stability and support bone regeneration [54]