through. After crossing through, Moses raises his staff and the waters close in on the Pharaoh’s advancing army.

Exodus 15-19: Through a series of miracles and obedience to God, Moses and the Israelites are provided with manna, quail, and water for survival. Moses gives praise and glory to God for that which He provides them.

Exodus 20: God summons Moses to the top of Mt. Sinai and delivers the Ten Commandments. God promises the Israelites that if they keep His commandments, He will go with them to the Promised Land.

God keeps His promise but not without the Israelites wandering in the wilderness, disobeying God, and questioning Him at every turn. How much easier could it have been for them had they not questioned Him and become so disgruntled with theirskin and soft tissue cuff around the nonunion. He functioned reasonably well and entered medical school anticipating a career in plastic surgery. During his medical school, he developed increasing pain and instability of the arm and presented to us. Motion was limited to the nonunion site with a stiff elbow joint as seen on the lateral radiograph (**a**). Formal ORIF using an open approach was not an option. We referred the patient to an expert in Ilizarov techniques (Dr. Dror Paley) who agreed to operate in a combined procedure with the authors. Via a minimal approach the nonunion was debrided and an intramedullary nail was placed as an internal strut and an Ilizarov frame with an elbow hinge was then placed (**b**). Autologous bone graft was added locally.