Treatment of femur aseptic non-unions after intramedullary nailing interfixation with locking plate

doi:10.3877/cma.j.issn.2096-0263.2018.04.002

Abstract

Abstract:

Objective

To investigate the therapeutic efficacy of locking plate with intramedullary nail rerserving fixation in the treatment of femoral nonunions after intramedullary fixation.

Methods

From January 2010 to January 2015, a total of 18 consecutive patients with femoral nonunions after intramedullary nailing interfixation were included. There were 8 females and 10 males with a mean age of (49±5) years (range 35-75 years), non-union time last for 6-34months, mean (17.6±2.3) months. All patients were treated with intramedullary reserving locking plate fixation combined with autogenous iliac grafting. The postoperative activity out of bed days, bone healing time, complications were evaluated.

Results

All patients were followed up for 6-20 months [average (12.0±1.4) months]. All patients achieved solid union [5-14 months, average (8.3±1.6) months]. Only one case suffered superficial surgical site infection. Postoperative VAS score was decreased from (6.0±1.3) preoperatively to (2.0±1.4), differences was statistically significant (t=7.312, P<0.05). so was the Johner-wruch score (χ²=28.000, P<0.05).

Conclusion

The locked plate combine with iliac bone grafting is a effective solution for femoral nonunion after intramedullary fixation, it can be applied for patients have femoral nonunion after intramedullary fixations.

Key words: Femur, Fractures, ununited, Fracture fixation, internal, Internal fixators

Zutao Li, Xiaogang Miao, Wenzheng Zhou, Kuo Xu, Hong Yuan, Jungang Sun. Treatment of femur aseptic non-unions after intramedullary nailing interfixation with locking plate[J]. Chinese Journal of Geriatric Orthopaedics and Rehabilitation(Electronic Edition), 2018, 04(04): 198-201.

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References 18

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时间	Johner-wruch评分					VAS评分
时间	优	良	可	差	总优良率	VAS评分
术前	0	1（5%）	3（17%）	14（73%）	1（5%）	6.0±1.3
术后末次随访	12（67%）	4（22%）	2（11%）	0	16（89%）	2.0±1.4
统计值	?	?	χ²=28.000	?	?	t=7.312
P值	?	?	<0.05	?	?	<0.05

时间	Johner-wruch评分					VAS评分
时间	优	良	可	差	总优良率	VAS评分
术前	0	1（5%）	3（17%）	14（73%）	1（5%）	6.0±1.3
术后末次随访	12（67%）	4（22%）	2（11%）	0	16（89%）	2.0±1.4
统计值	?	?	χ²=28.000	?	?	t=7.312
P值	?	?	<0.05	?	?	<0.05

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