title: The surgical treatment of nonunion of the proximal metaphysis of the femur.
abstract: Nonunion of the proximal femur is a severe pathology, often provoked by the inopportune or improper use of a therapeutic aid: nonsurgical (primary nonunion), surgical (secondary nonunion). Surgical treatment of this nonunion may thus be characterized by different degrees of difficulty, depending on whether or not it is the sequela of surgery or of nonsurgical treatment. In lax nonunion, with atrophy of the segments and regions of necrotic bone interposed, modeling resection is required to correct the functional axes. The condylar blade-plate may be opposed by a cortical graft--to improve stability of the assembly--protecting the medial wall and providing the screws with excellent hold.
authors.forename: L
authors.initials: L
authors.lastname: Ponziani
authors.forename: R
authors.initials: R
authors.lastname: Pascarella
authors.forename: G
authors.initials: G
authors.lastname: Rollo
authors.forename: P
authors.initials: P
authors.lastname: Palumbi
authors.forename: M
authors.initials: M
authors.lastname: Ferri
authors.forename: G F
authors.initials: GF
authors.lastname: Zinghi
mesh_terms: D000328:Adult; D000368:Aged; D005260:Female; D005264:Femoral Fractures / Q000601:surgery*; D005599:Fractures, Ununited / Q000601:surgery*; D006801:Humans; D008297:Male; D008875:Middle Aged; D011542:Pseudarthrosis