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Treatment of intertrochanteric nonunion after sliding hip screw fixation with a short cephalomedullary nail

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European Journal of Orthopaedic Surgery & Traumatology Aims and scope Submit manuscript

Abstract

Intertrochanteric femur fracture nonunions are a rare complication that can be difficult to treat with limited evidence regarding treatment options. Revision fixation is typically reserved for well-aligned nonunions with sufficient femoral head bone stock. The most common implant used for revision fixation is a sliding hip screw implant. The use of a short cephalomedullary nail (CMN) for revision fixation has not been previously reported. This article presents a technique for reamed short CMN revision fixation of well-aligned nonunions with sufficient bone stock that is a simpler and potentially less morbid treatment option compared to open procedures with fixed-angle devices. For nonunions with poor femoral head bone stock and/or malaligned fractures, a fixed-angle implant, with or without a valgus osteotomy, may be necessary, while arthroplasty is reserved for nonunions with poor proximal femur bone stock that are not amenable to fixed-angle implant fixation.

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Authors and Affiliations

  1. Department of Orthopaedics, Denver Health Medical Center, University of Colorado School of Medicine, 777 Bannock St, MC 0188, Denver, CO, 80204, USA

    Joshua M. Mares, Michael M. Hadeed & Joshua A. Parry

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  1. Joshua M. Mares
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  2. Michael M. Hadeed
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  3. Joshua A. Parry
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Correspondence to Joshua A. Parry.

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This research did not receive any specific grant from funding agencies in the public, commercial, or not-for-profit sectors. The authors have no specific disclosures related to this study.

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All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.

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The institutional review board approved this study. Due to the retrospective nature of this work, informed consent was waived.

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M. Mares, ., Hadeed, M.M. & Parry, J.A. Treatment of intertrochanteric nonunion after sliding hip screw fixation with a short cephalomedullary nail. Eur J Orthop Surg Traumatol 32, 1415–1421 (2022). https://doi.org/10.1007/s00590-021-03108-8

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  • DOI: https://doi.org/10.1007/s00590-021-03108-8

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