Based on the CT report, the patella fracture has united, but the lower one-third femur fracture has not united (non-union) even after 8 months. The report also mentions plates and screws in place with periosteal reaction and irregular fracture fragments. Whether another surgery is required cannot be decided from the CT report alone, but in a symptomatic patient with established femoral non-union, revision surgery is often required to achieve fracture healing. The exact procedure depends on the cause of the non-union (mechanical instability, infection, or poor biology) and may include revision fixation with bone grafting/bone graft substitute, exchange of implants, or additional fixation. Clinical examination, X-rays, blood tests (ESR, CRP, CBC), and sometimes cultures are needed before deciding the treatment.

Yes, may surgery will required Share all xray sequentially

At 8 months with a plate in place, if the fracture still hasn't united on imaging, the orthopedic surgeon needs to assess for revision surgery. This is a specialist decision that requires proper in-person review of the X-ray/CT and clinical examination. Don't delay the follow-up with your operating surgeon.

Yes. U may require one more surgery. Kindly share the film pics if possible.

An X-ray would’ve been appropriate to judge the union of fracture rather than a ct scan because all the implants are seen as Arti facts in a ct scan .. According to the report your patella fracture probably fixed with screw is united There is a. Distal femur fracture which is not united yet in that case 8 months is enough time to judge a fracture May be you may have to under go another surgery with arguments like bone graft for the union

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