title: High success rate for augmentation compression plating leaving the nail in situ for aseptic diaphyseal tibial nonunions.
abstract: OBJECTIVE
  To evaluate adjunctive compression plating leaving the previously unreamed inserted intramedullary nail (URIMN) in situ for treating a resultant diaphyseal tibial nonunion.
  
  
  METHODS
  Retrospective study.
  
  
  METHODS
  Level 1 trauma center (University Hospital).
  
  
  METHODS
  Patients treated by URIMN for diaphyseal tibial fractures that developed an aseptic hypertrophic nonunion.
  
  
  METHODS
  Dynamization of the nail and compression plating leaving the URIMN in situ.
  
  
  METHODS
  Radiographic and clinical parameters.
  
  
  RESULTS
  The mean follow-up was 3.8 years (range 2-7 years). Mean time for healing was 15 weeks with a mean operation time of 63 minutes. Union occurred in 27/28 (96.4%). There were no infections.
  
  
  CONCLUSIONS
  This simple technique seems to have a high success rate and should be considered when a nonunion occurs after URIMN. The need for an additional incision and removal of symptomatic implants remains a disadvantage.
  
  
  METHODS
  Therapeutic Level IV. See Instructions for Authors for a complete description of levels of evidence.
authors.affiliation: Department of Traumatology and Reconstructive Surgery, Berufsgenossenschaftliche Unfallklinik Tübingen, Eberhard Karls Universität Tübingen, Tübingen, Germany.
authors.forename: Atesch
authors.initials: A
authors.lastname: Ateschrang
authors.forename: Dirk
authors.initials: D
authors.lastname: Albrecht
authors.forename: Ulrich
authors.initials: U
authors.lastname: Stöckle
authors.forename: Kuno
authors.initials: K
authors.lastname: Weise
authors.forename: Fabian
authors.initials: F
authors.lastname: Stuby
authors.forename: Derek
authors.initials: D
authors.lastname: Zieker
mesh_terms: D001858:Bone Nails; D001860:Bone Plates; D005260:Female; D005594:Fracture Fixation, Intramedullary; D005599:Fractures, Ununited / Q000000981:diagnostic imaging / Q000601:surgery*; D006801:Humans; D008297:Male; D008875:Middle Aged; D011859:Radiography; D012086:Reoperation; D012189:Retrospective Studies; D013978:Tibial Fractures / Q000000981:diagnostic imaging / Q000601:surgery*