Plate augmentation for femoral nonunion: more than just a salvage tool?
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The aim of the current study was to determine whether plate augmentation was a successful treatment algorithm for selected femoral nonunions initially managed with intramedullary nailing.
Materials and methods
A total of 30 femoral nonunion cases were managed using the plate augmentation strategy with 13 primary cases and 17 multi-operated femurs (avg 2.8 ineffective procedures). Adjunctive strategies included autologous bone grafting and/or BMP for atrophic/oligotrophic and bone defect cases. Deformity correction was performed when required.
Osseous union occurred in 29 of 30 cases. One multi-operated case with bone defect and prior infection required repeat autologous grafting prior to union.
Plate augmentation should be added to the armamentarium for management of selected femoral nonunion that have failed initial intramedullary nailing.
KeywordsFemur nonunion Plate augmentation Intramedullary nail Bone graft Exchange nail
- 3.Canadian Orthopaedic Trauma Society (2003) Nonunion following intramedullary nailing of the femur with and without reaming. Results of a multicenter randomized clinical trial. J Bone Joint Surg Am 85(11):2093–2096Google Scholar
- 5.Pihlajamaki HK, Salminen ST, Bostman OM et al (2002) The treatment of nonunions following intramedullary nailing of femoral shaft fractures. JOT 16:394–402Google Scholar