Nonunion and shortening after femoral fracture treated with one-stage lengthening using locked nailing technique. Good results in 48/51 patients.
We report on 56 consecutive aseptic femoral shaft nonunions with shortening, which were treated with local debridement, skeletal traction, a spine-spreader aiding lengthening, static locked nail stabilization and corticocancellous bone grafting. 51 patients were followed for 2 (1-4) years and 48 achieved a solid union. The median period to bony union was 4 (3-8) months and lengthening achieved was 2.8 (1.5-4.5) cm. 3 patients had nonunion, 2 without implant failure and 1 with implant failure. However, all 3 healed after reoperation. There was no neurovascular injury or deep infection.
Wu
C C
CC
Department of Orthopedic Surgery, Chang Gung Memorial Hospital, Taiwan, R.O.C.
Shih
C H
CH
Chen
W J
WJ
D000293:Adolescent; D000328:Adult; D001852:Bone Lengthening / Q000379:methods*; D001858:Bone Nails; D016025:Bone Transplantation / Q000379:methods*; D005260:Female; D005264:Femoral Fractures / Q000000981:diagnostic imaging / Q000209:etiology / Q000601:surgery*; D005500:Follow-Up Studies; D017102:Fracture Healing; D005599:Fractures, Ununited / Q000000981:diagnostic imaging / Q000209:etiology / Q000601:surgery*; D006801:Humans; D007870:Leg Length Inequality / Q000000981:diagnostic imaging / Q000209:etiology / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D011859:Radiography; D012086:Reoperation; D013997:Time Factors; D014143:Traction / Q000379:methods*; D016896:Treatment Outcome