The treatment of nonisthmal femoral shaft nonunions with im nail exchange versus augmentation plating

Journal of Orthopaedic Trauma
Jin ParkKyu Hyun Yang

Abstract

The purpose of this study was to compare the results between exchange nailing (EN) and augmentation plating (AP) with a nail left in situ for nonisthmal femoral shaft nonunion after femoral nailing. : Retrospective data analysis, November 1996-March 2006. A level I trauma center. Eighteen patients with 18 nonisthmal femoral nonunions. Seven patients with 7 fractures treated for nonisthmal femoral shaft nonunions after femoral nailing with EN and 11 patients with 11 fractures treated for nonisthmal femoral shaft nonunions after nailing with AP combined with bone grafting. Union and complications. Five nonunions in the EN group failed to achieve union (72% failure rate), whereas all 11 pseudarthroses in the AP group obtained osseous union. Fisher exact test showed a higher nonunion rate of EN compared with AP for nonisthmal femoral shaft nonunion (odds ratio, 6.5; P = 0.002). AP with autogenous bone grafting may be a better option than EN for nonisthmal femoral nonunions.

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Citations

Sep 9, 2011·International Orthopaedics·Vivek Trikha, Sanjay Yadav
Oct 12, 2012·Journal of Orthopaedic Science : Official Journal of the Japanese Orthopaedic Association·Yoshinobu WatanabeTakashi Matsushita
Oct 11, 2014·Journal of Orthopaedic Surgery and Research·Christian HierholzerJan Friederichs
Nov 29, 2015·The Orthopedic Clinics of North America·Mark R Brinker, Daniel P O'Connor
Jul 12, 2011·Injury·Ioannis D GelalisTheodoros A Xenakis
Jun 6, 2014·Clinics in Orthopedic Surgery·Jin Park, Seong Yup Jeong
Feb 14, 2012·The Journal of Trauma and Acute Care Surgery·Kyu Hyun YangJin Park
Jul 8, 2016·European Journal of Orthopaedic Surgery & Traumatology : Orthopédie Traumatologie·Tae Woong EomJi Wan Kim
Jul 12, 2017·Journal of Orthopaedic Trauma·Alejandro Marquez-LaraEben A Carroll
Jul 31, 2013·Strategies in Trauma and Limb Reconstruction·Matthijs P SomfordPeter Kloen
Sep 2, 2020·European Journal of Trauma and Emergency Surgery : Official Publication of the European Trauma Society·Won Chul ShinNam Hoon Moon
Dec 24, 2017·International Orthopaedics·Markus RuppVolker Alt
Aug 20, 2017·Archives of Orthopaedic and Trauma Surgery·Ki-Chul ParkJeong Heo
Sep 29, 2017·Archives of Orthopaedic and Trauma Surgery·Joon-Woo KimJong-Keon Oh
Aug 7, 2018·World Journal of Orthopedics·Jacob E VaughnNabil A Ebraheim
Feb 29, 2020·European Journal of Trauma and Emergency Surgery : Official Publication of the European Trauma Society·Christiano Saliba UlianaVincenzo Giordano
May 25, 2021·Journal of Orthopaedic Science : Official Journal of the Japanese Orthopaedic Association·Eic Ju LimJi Wan Kim

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