title: Percutaneous management of ununited femoral fracture.
abstract: We describe a percutaneous technique used for the management of non-union in a complex diaphyseal femoral fracture treated initially with intramedullary nailing. Seven months after the initial fixation, a proximal fracture gap failed to progress to union. A percutaneous procedure involving fracture gap freshening and supplementation with bone morphogenetic protein and demineralised bone matrix resulted in a satisfactory progression to union. The percutaneous procedure allowed less soft tissue insult around the fracture site, a short hospital stay, a fast return to the preoperative level of mobility and fracture union.
authors.affiliation: Department of Trauma and Orthopaedics, Sunderland Royal Hospital, Sunderland, UK. Feras.Ya’ish@northumbria-healthcare.nhs.uk
authors.forename: F
authors.initials: F
authors.lastname: Ya'ish
authors.forename: A M
authors.initials: AM
authors.lastname: Nanu
authors.forename: A T
authors.initials: AT
authors.lastname: Cross
mesh_terms: D000328:Adult; D019485:Bone Morphogenetic Proteins / Q000627:therapeutic use; D005264:Femoral Fractures / Q000000981:diagnostic imaging / Q000601:surgery*; D005594:Fracture Fixation, Intramedullary / Q000379:methods; D005599:Fractures, Ununited / Q000000981:diagnostic imaging / Q000601:surgery*; D006801:Humans; D008297:Male; D011859:Radiography
chemical_list: D019485:Bone Morphogenetic Proteins