Plate augmentation for femoral nonunion: more than just a salvage tool?

J. C. Chiang, J. E. Johnson, I. S. Tarkin, P. A. Siska, D. J. Farrell, M. A. Mormino

Research output: Contribution to journalArticle

10 Scopus citations

Abstract

Objective: The aim of the current study was to determine whether plate augmentation was a successful treatment algorithm for selected femoral nonunions initially managed with intramedullary nailing. Materials and methods: A total of 30 femoral nonunion cases were managed using the plate augmentation strategy with 13 primary cases and 17 multi-operated femurs (avg 2.8 ineffective procedures). Adjunctive strategies included autologous bone grafting and/or BMP for atrophic/oligotrophic and bone defect cases. Deformity correction was performed when required. Results: Osseous union occurred in 29 of 30 cases. One multi-operated case with bone defect and prior infection required repeat autologous grafting prior to union. Conclusion: Plate augmentation should be added to the armamentarium for management of selected femoral nonunion that have failed initial intramedullary nailing.

Original languageEnglish (US)
Pages (from-to)149-156
Number of pages8
JournalArchives of Orthopaedic and Trauma Surgery
Volume136
Issue number2
DOIs
StatePublished - Feb 1 2016

Keywords

  • Bone graft
  • Exchange nail
  • Femur nonunion
  • Intramedullary nail
  • Plate augmentation

ASJC Scopus subject areas

  • Surgery
  • Orthopedics and Sports Medicine

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