High success rate for augmentation compression plating leaving the nail in situ for aseptic diaphyseal tibial nonunions

Journal of Orthopaedic Trauma
Atesch AteschrangDerek Zieker

Abstract

To evaluate adjunctive compression plating leaving the previously unreamed inserted intramedullary nail (URIMN) in situ for treating a resultant diaphyseal tibial nonunion. Retrospective study. Level 1 trauma center (University Hospital). Patients treated by URIMN for diaphyseal tibial fractures that developed an aseptic hypertrophic nonunion. Dynamization of the nail and compression plating leaving the URIMN in situ. Radiographic and clinical parameters. The mean follow-up was 3.8 years (range 2-7 years). Mean time for healing was 15 weeks with a mean operation time of 63 minutes. Union occurred in 27/28 (96.4%). There were no infections. This simple technique seems to have a high success rate and should be considered when a nonunion occurs after URIMN. The need for an additional incision and removal of symptomatic implants remains a disadvantage. Therapeutic Level IV. See Instructions for Authors for a complete description of levels of evidence.

References

Apr 1, 1995·Journal of Orthopaedic Trauma·B R Moed, J T Watson
Jan 19, 1999·Journal of Orthopaedic Trauma·C C WuC L Tai
Apr 16, 2002·Sportverletzung Sportschaden : Organ der Gesellschaft für Orthopädisch-Traumatologische Sportmedizin·G KonradA Rüter
Jun 1, 2002·Journal of Orthopaedic Research : Official Publication of the Orthopaedic Research Society·A A C ReedA H R W Simpson
Mar 17, 2004·Clinical Orthopaedics and Related Research·E Carlos Rodriguez-Merchan, Fernando Gomez-Castresana
Dec 8, 2004·The Journal of Trauma·Boris A ZelleMichael J Prayson
Feb 16, 2005·Injury·M C ForsterA S Aster
Jun 21, 2005·Archives of Orthopaedic and Trauma Surgery·Chin-En ChenCheng-Chung Pan
Jan 4, 2007·The Journal of Bone and Joint Surgery. American Volume·Mark R Brinker, Daniel P O'Connor
Dec 3, 2008·The Journal of Bone and Joint Surgery. American Volume·UNKNOWN Study to Prospectively Evaluate Reamed Intramedullary Nails in Patients with Tibial Fractures InvestigatorsStephen D Walter

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Citations

Nov 29, 2015·The Orthopedic Clinics of North America·Mark R Brinker, Daniel P O'Connor
Jun 19, 2016·Archives of Orthopaedic and Trauma Surgery·Bijukachhe BinodAdhikari Prashant
Jan 10, 2016·Injury·Peter V GiannoudisNikolaos K Kanakaris
Nov 15, 2016·Acta Orthopaedica·Nicole BartnikowskiDevakara R Epari
Dec 24, 2017·International Orthopaedics·Markus RuppVolker Alt

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