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 language | English (US) |
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Pages (from-to) | 149-156 |
Number of pages | 8 |
Journal | Archives of Orthopaedic and Trauma Surgery |
Volume | 136 |
Issue number | 2 |
DOIs | |
State | Published - Feb 1 2016 |
Keywords
- Bone graft
- Exchange nail
- Femur nonunion
- Intramedullary nail
- Plate augmentation
ASJC Scopus subject areas
- Surgery
- Orthopedics and Sports Medicine