title: [Interlocking intramedullary nail with reaming of bone marrow cavity in treatment of tibia and femur pseudarthrosis].
abstract: The aim of this paper was to assess the results of treatment of pesudoarthrosis of the tibia and femur with reamed interlocked intramedullary nailing. A group of 17 patients with pseudoarthrosis of long bones were treated. Pseudoarthrosis were located in 10 cases in the tibia and in 7 cases in the femur. In the analysed group there were 14 male and 3 female patients (average age: 48 years). All patients were treated by locked intramedullary nailing. Complete bone union was observed in 15 cases, 1 case is still under observation (radiological signs of bone union are already evident) and in 1 case treatment failed to resolve the pseudoarthrosis. Intramedullary interlocking nailing in the treatment of long bone pseudoarthrosis give very good stability and creates very good conditions for blood vessel penetration between the bone fragments. The reaming procedure yields biologically active material that accelerates the bone union process.
authors.affiliation: Oddział Urazowo-Ortopedyczny, Wojewódzki Szpital Specjalistyczny im. L. Rydygiera w Krakowie.
authors.forename: Tadeusz
authors.initials: T
authors.lastname: Niedźwiedzki
authors.forename: Marek
authors.initials: M
authors.lastname: Szuścik
authors.forename: Łukasz
authors.initials: Ł
authors.lastname: Niedźwiedzki
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D005260:Female; D005264:Femoral Fractures / Q000000981:diagnostic imaging / Q000601:surgery*; D005594:Fracture Fixation, Intramedullary / Q000379:methods*; D006801:Humans; D008297:Male; D008875:Middle Aged; D011542:Pseudarthrosis / Q000601:surgery*; D011859:Radiography; D013978:Tibial Fractures / Q000000981:diagnostic imaging / Q000601:surgery*