Intramedullary nailing for the treatment of aseptic femoral shaft non-unions after plating failure: effectiveness and timing.
retrospective_cohort · Level III
Where this comes from
- Record sourced from PubMed, PMID 19371870.
- Also identified by DOI 10.1016/j.injury.2008.11.008.
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Abstract
This retrospective, multicentre study aimed to evaluate reamed intramedullary nailing (IMN) for the treatment of 30 cases of aseptic femoral shaft non-union after plating failure. Following nailing, 29 non-unions had healed by a mean 7.93 months. In one case a hypertrophic non-union required renailing after 8 months, using a nail of greater diameter, and united within five further months. Healing times were not related to whether the fracture was open or closed, the type non-union or the type of fracture. The delay from the initial plating to intramedullary nailing had a statistically significant effect on healing time and final outcome. This treatment is cost effective and should be implemented as soon as the non-union is diagnosed.
Medical subject headings
- Bone Nails
- Femoral Fractures
- Fracture Fixation, Intramedullary
- Fracture Healing
- Fractures, Ununited