Intramedullary nailing in treatment of complications of long bone union following fracture - case studies.
Open osteosynthesis of long bones fractures carries high risk of complications, the most common of which are plate breakage, slow union, delayed union and non-union. The paper analysis of 3 cases of bone union complications treated by locked intramedullary nailing. The aim was to show differences in the therapeutic management of different bones and non-unions following different types of osteosynthesis. Although bone union took longer to complete than in acute fractures, a good functional result was obtained in each case. Locked intramedullary nailing permits stable bone fixation. Intramedullary canal reaming stimulates bone consolidation since it is the source of autologous bone graft. Similar to its use in the treatment of acute fractures, the method permits early, active and efficient patient rehabilitation.
Wójcik
Krzysztof
K
Department and Hospital Department of Orthopaedics, Silesian Medical University, Sosnowiec, Poland. pjotka@poczta.onet.pl
Gaździk
Tadeusz Szymon
TS
Gajda
Tomasz
T
Jaworski
Jerzy Mirosław
JM
D000328:Adult; D005264:Femoral Fractures / Q000000981:diagnostic imaging / Q000601:surgery*; D005594:Fracture Fixation, Intramedullary; D005599:Fractures, Ununited / Q000601:surgery*; D006801:Humans; D006810:Humeral Fractures / Q000000981:diagnostic imaging / Q000601:surgery*; D008297:Male; D011859:Radiography; D013978:Tibial Fractures / Q000000981:diagnostic imaging / Q000601:surgery*; D016896:Treatment Outcome