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- Title
Plate augmentation for femoral nonunion: more than just a salvage tool?
- Authors
Chiang, J.; Johnson, J.; Tarkin, I.; Siska, P.; Farrell, D.; Mormino, M.; Chiang, J C; Johnson, J E; Tarkin, I S; Siska, P A; Farrell, D J; Mormino, M A
- Abstract
<bold>Objective: </bold>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.<bold>Materials and Methods: </bold>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.<bold>Results: </bold>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.<bold>Conclusion: </bold>Plate augmentation should be added to the armamentarium for management of selected femoral nonunion that have failed initial intramedullary nailing.
- Subjects
BONE plates (Orthopedics); INTERNAL fixation in fractures; ORTHOPEDIC implants; BONE grafting; PLASTIC surgery; ILIUM; AUTOGRAFTS; BONE morphogenetic proteins; COMPARATIVE studies; FEMUR injuries; FRACTURE fixation; BONE fractures; UNUNITED fractures; RESEARCH methodology; MEDICAL cooperation; RESEARCH; EVALUATION research; SALVAGE therapy; FRACTURE healing; TRANSPLANTATION of organs, tissues, etc.
- Publication
Archives of Orthopaedic & Trauma Surgery, 2016, Vol 136, Issue 2, p149
- ISSN
0936-8051
- Publication type
journal article
- DOI
10.1007/s00402-015-2365-9