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Plate augmentation and autologous bone grafting after intramedullary nailing for challenging femoral bone defects: a technical note

  • Trauma Surgery
  • Published:
Archives of Orthopaedic and Trauma Surgery Aims and scope Submit manuscript

Abstract

The treatment of a large segmental defect of over 6 cm in a long bone is a challenging procedure. Treatment options include cancellous bone graft (e.g., the Masquelet technique), vascularized fibular graft (VFG), and internal bone transport (IBT) with an external fixator. These methods may be performed with intramedullary (IM) nailing or plate fixation to enhance stability or to lessen the time of external fixation. Each method has its own advantages and limitations. This study aimed to describe the advantages of additional plate augmentation and autologous bone grafting after IM nail implantation. Three patients with large segmental femoral bone defects were treated with IM nail implantation; then, one- or two-stage autologous iliac bone grafting with additional plate augmentation was performed. All patients achieved bony union without metal failure. We describe a technique involving additional plate augmentation and autologous iliac bone grafting for treating large femoral defects after restoring the length of the femur using an IM nail implantation and an external fixator.

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Acknowledgment

The study was approved by our hospital’s institutional review board.

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Authors and Affiliations

  1. Yonsei University College of Medicine, Seoul, Korea

    Kyu-Hyun Yang & Young Chang Park

  2. Department of Orthopaedic Surgery, Konyang University College of Medicine, Daejeon, Korea

    Yougun Won, Sang Bum Kim, Byung-Hak Oh & Sang Jin Jeong

  3. Department of Orthopaedics, Graduate School of Medicine, Yonsei University, Seoul, Korea

    Yougun Won

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  1. Kyu-Hyun Yang
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  2. Yougun Won
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  3. Sang Bum Kim
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  4. Byung-Hak Oh
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  5. Young Chang Park
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  6. Sang Jin Jeong
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Correspondence to Yougun Won.

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Yang, KH., Won, Y., Kim, S.B. et al. Plate augmentation and autologous bone grafting after intramedullary nailing for challenging femoral bone defects: a technical note. Arch Orthop Trauma Surg 136, 1381–1385 (2016). https://doi.org/10.1007/s00402-016-2522-9

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  • DOI: https://doi.org/10.1007/s00402-016-2522-9

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