Addition of a Medial Locking Plate to an In Situ Lateral Locking Plate Results in Healing of Distal Femoral Nonunions

Clinical Orthopaedics and Related Research
Michael A HolzmanMark R Brinker

Abstract

Nonunion of the distal femur after lateral plating is associated with axial malalignment, chronic pain, loss of ambulatory function, and decreased knee ROM. The addition of a medial locking plate with autogenous bone grafting can provide greater stability to allow bone healing and may be used to achieve union in these challenging cases. We wished to determine (1) the proportion of patients who achieve radiographic signs of osseous union for distal femoral nonunions with an in situ lateral plate after treatment with addition of a medial locking plate and autogenous bone grafting, and (2) the frequency and types of complications associated with this treatment. Between 2007 and 2013, we treated 22 patients for 23 distal femoral nonunions, defined as an unhealed fracture with no radiographic signs of osseous union at a mean of 16 months (SD, 13 months) after injury. During that time, we used a treatment algorithm consisting of treatment in one or two stages. The single-stage procedure performed in 16 aseptic nonunions with a stable lateral plate involved addition of a medial locking plate and autogenous bone graft. A two-stage treatment performed in seven nonunions with lateral plate failure involved placement of a new lateral lock...Continue Reading

References

Dec 1, 1991·The Journal of Trauma·C C Wu, C H Shih
Jan 1, 1994·The Journal of Bone and Joint Surgery. American Volume·J D HeckmanR F Kilcoyne
Mar 1, 1997·The Journal of Bone and Joint Surgery. British Volume·D R MarshN Kurdy
Oct 3, 1999·The Journal of Bone and Joint Surgery. American Volume·M W Chapman, C G Finkemeier
Apr 25, 2002·Journal of Orthopaedic Trauma·Carlo BellabarbaBrett R Bolhofner
Dec 17, 2009·International Orthopaedics·Daniel B ChanDavid L Helfet
Feb 2, 2011·Journal of Orthopaedic Trauma·Christopher E HendersonJ L Marsh
Feb 20, 2013·Orthopaedic Surgery·Nabil A EbraheimJiayong Liu
Jun 14, 2013·Journal of Orthopaedic Trauma·William M RicciMichael J Gardner
Nov 28, 2013·Journal of Orthopaedic Surgery and Research·Martin F HoffmannScott J Koenig

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Citations

Nov 10, 2017·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·Franz LiskaAndreas B Imhoff
May 28, 2019·International Orthopaedics·Deepak JainHarpal S Selhi
Jul 25, 2019·Journal of Orthopaedic Trauma·Philip B FontenotHassan Mir
Jan 27, 2018·Journal of Orthopaedic Trauma·Patrick F BerginGeorge V Russell
Jul 2, 2019·Journal of Orthopaedic Trauma·Tyler C McDonaldPatrick F Bergin
Jan 27, 2018·Journal of Orthopaedic Trauma·Clay A SpitlerMatthew L Graves
Dec 19, 2017·Journal of Investigative Surgery : the Official Journal of the Academy of Surgical Research·Tao ChengCong-Feng Luo
Jun 18, 2020·Operative Orthopädie und Traumatologie·Frank J P BeeresReto Babst
May 24, 2017·International Orthopaedics·Franz LiskaAndreas B Imhoff
Apr 2, 2020·The Bone & Joint Journal·Natalie C RollickDavid S Wellman
Jan 24, 2021·Archives of Orthopaedic and Trauma Surgery·M F LoddeJ C Katthagen
Feb 23, 2021·Journal of Orthopaedics·Moritz F MayrLukas Konstantinidis

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