Proximal femur fracture non-union with or without implant failure: A revision technique with clinical outcomes.

Injury
Daniel BenzZsolt J Balogh

Abstract

This manuscript presents a revision surgical technique with clinical outcomes for the management of inter and subtrochanteric femur fracture non-union with or without implant failure. Between January 2010 and January 2019, consecutive patients presenting with inter and subtrochanteric femur fracture non-union and/or implant failure managed with exchange intramedullary nailing, LCP augmentation and biological supplementation were identified. Patient demographics and perioperative data was recorded. 13 patients with 10 intertrochanteric and 3 subtrochanteric femur fractures were identified. Revision was performed for implant failure in 8 (62%) patients and non-union in 5 (38%) patients. Fracture union occurred in all patients at an average of 9 months post revision. Exchange intramedullary nailing, with LCP augmentation and biological supplementation is an effective technique to restore anatomy, maintain function and facilitate immediate weight bearing while providing a fixation construct able to withstand the often extended time periods required to achieve fracture union.

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Citations

Feb 17, 2021·European Journal of Orthopaedic Surgery & Traumatology : Orthopédie Traumatologie·O PearceA Riddick
Apr 10, 2021·European Journal of Trauma and Emergency Surgery : Official Publication of the European Trauma Society·Yong-Cheol YoonSung-Soo Ha
Apr 17, 2021·European Journal of Trauma and Emergency Surgery : Official Publication of the European Trauma Society·Christina DietzeChristian von Rüden
Jun 19, 2021·Orthopaedic Surgery·Gang ZhongShi-Qiang Cen

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