Plate augmentation and bone grafting in treatment of femoral shaft nonunion initially fixed by intramedullary nail

Autor: Mohamed Mohamed A., Noaman Hassan H., Soroor Yasser O., Elsayed Moustafa
Jazyk: angličtina
Rok vydání: 2022
Předmět:
Zdroj: SICOT-J, Vol 8, p 19 (2022)
Druh dokumentu: article
ISSN: 2426-8887
DOI: 10.1051/sicotj/2022020
Popis: Introduction: This study aims to evaluate the results of plate augmentation and bone grafting without removing the nail in the treatment of nonunited, nailed femoral shaft fractures. Methods: Twenty patients with atrophic nonunion femoral shaft fractures initially fixed by intramedullary nail were treated by augmentation plating and iliac bone graft with retention of the nail. Patients were evaluated at regular intervals using an X-ray and Wu scoring system, which assesses clinical and radiological signs of healing. Results: All 20 patients achieved bony union at a mean time of 4.9 months (3–8 months). According to Wu’s score, 12 cases showed excellent results, and 8 cases obtained good results with no complications recorded. Conclusion: augmentation plating and iliac bone graft provide a good and safe method of treatment of previously nailed and non-united femoral shaft fractures. Level of evidence: Level 4; Case Series.
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