scholarly journals Clinical outcomes of femoral shaft non-union: dual plating versus exchange nailing with augmentation plating

2018 ◽  
Vol 13 (1) ◽  
Author(s):  
Wei Zhang ◽  
Zhuo Zhang ◽  
Jiantao Li ◽  
Licheng Zhang ◽  
Hua Chen ◽  
...  
Keyword(s):  
Clinical Outcomes ◽  
Femoral Shaft ◽  
Non Union ◽  
Dual Plating ◽  
Exchange Nailing ◽  
Versus Exchange ◽  
Augmentation Plating

Effectiveness of exchange nailing and augmentation plating for femoral shaft nonunion after nailing

2014 ◽  
Vol 38 (11) ◽  
pp. 2343-2347 ◽  
Author(s):  
Zhen Wang ◽  
Chunfeng Liu ◽  
Chaoqun Liu ◽  
Qing Zhou ◽  
Jinlian Liu
Keyword(s):  
Femoral Shaft ◽  
Exchange Nailing ◽  
Augmentation Plating

Broken Femoral Intramedullary Locking Nails with Nonunion: A difficult combination!

2018 ◽  
Vol 16 (1) ◽  
pp. 58-62
Author(s):  
Gopal Sagar DC ◽  
Sandeep Gurung
Keyword(s):  
Iliac Crest ◽  
Femoral Shaft ◽  
Lateral Position ◽  
Minimally Invasive Osteosynthesis ◽  
Non Union ◽  
Medical College ◽  
Fracture Nonunion ◽  
Exchange Nailing ◽  
Spinal Epidural ◽  
Real Challenge

Background: The diaphyseal fracture of femur is universally treated with intramedullary interlocking nails. Non-union with properly done interlocking nail is not very common. When broken nail and non-union coexist, it becomes a real challenge. We reviewed our isolated femoral shaft fractures treated with antegrade interlocking nails that presented with broken nails, bolts and non-union. We discuss our simple technique of retrieval of broken nail units, their management and results with revision nailing. Materials and methods: We reviewed our cases of femoral intramedullary locking nails operated from 2012 November to 2017 November and observed that, out of 197 cases; Eight cases of broken nails were managed in our center Nepalgunj medical college Nepalgunj. Patients were operated in lateral position under combined spinal epidural anaesthesia. We removed the broken nail segment with our simple yet less destructive technique and revised with bigger nails. Results: Out of 197 cases of fracture shaft femur treated with IM nail, 8 cases were found to have broken nails. Seven cases were associated with non-union of femur. In one case, the femur united in spite of broken nail. In all the cases broken nail were removed in a similar manner and was struggle free. Exchange nailing was done in seven cases and only one case was augmented with bone graft from ipsilateral iliac crest. Union was achieved in all seven cases. Conclusion: IMIL nail is the well-established, minimally invasive osteosynthesis for long bones fracture. Nonunion and broken implant when coexist the management becomes difficult.

scholarly journals Exchange Nailing as Revision Surgery for Post-operative Non-union of Atypical Femoral Fractures: A Case Report and Treatment Strategy

2021 ◽  
Vol 11 (1) ◽  
Author(s):  
Tomohiro Yasuda ◽  
Masayuki Arai ◽  
Daichi Shinohara ◽  
Yuki Samejima ◽  
Koji Kanzaki ◽  
...  
Keyword(s):  
Case Report ◽  
Revision Surgery ◽  
Femoral Fracture ◽  
Callus Formation ◽  
Femoral Fractures ◽  
Femoral Shaft ◽  
Medullary Canal ◽  
Atypical Femoral Fractures ◽  
Non Union ◽  
Exchange Nailing

Introduction: Atypical femoral fractures account for only 0.5% of femoral shaft fractures, but delayed union or non-union occurs in 50% of atypical femoral fractures accompanied by femoral lateral bowing. Such fractures are difficult to treat. Case Report: The case was an 84-year-old woman. She was diagnosed post-operative non-union of atypical femoral fracture. We planned a revision surgery for post-operative non-union of the atypical proximal femoral fracture. A two-dimensional template was used to simulate the intramedullary nail (IMN). Due to the advanced femoral lateral bowing deformity, a mismatch with the nail was noted when the unaffected femur was used to construct the template. When the opposite side nail was used as a template, the nail was aligned with the medullary canal, and the tip of the nail coincided with the center of the medullary canal; hence, the opposite side nail was chosen. Radiographical assessments of healing of the fracture confirmed callus formation and complete bone union 3 months and 1 year after the operation, respectively. Conclusion: We found that exchange nailing as revision surgery for post-operative non-union of atypical femoral fractures combined with an IMN on the opposite side was useful. Keywords: Alendronate, femoral fracture, osteoporosis, revision surgery.

Exchange nailing for femoral shaft aseptic non-union

Injury ◽  
1999 ◽  
Vol 30 (4) ◽  
pp. 245-249 ◽  
Author(s):  
A.J Furlong ◽  
P.V Giannoudis ◽  
P DeBoer ◽  
S.J Matthews ◽  
D.A MacDonald ◽  
...  
Keyword(s):  
Femoral Shaft ◽  
Non Union ◽  
Exchange Nailing

scholarly journals Systematic review of dynamization vs exchange nailing for delayed/non-union femoral fractures

2018 ◽  
Vol 9 (7) ◽  
pp. 92-99 ◽  
Author(s):  
Jacob E Vaughn ◽  
Ronit V Shah ◽  
Tarek Samman ◽  
Jacob Stirton ◽  
Jiayong Liu ◽  
...  
Keyword(s):  
Systematic Review ◽  
Femoral Fractures ◽  
Non Union ◽  
Exchange Nailing

scholarly journals Incidence, Costs and Predictors of Non-Union, Delayed Union and Mal-Union Following Long Bone Fracture

2018 ◽  
Vol 15 (12) ◽  
pp. 2845 ◽  
Author(s):  
Christina Ekegren ◽  
Elton Edwards ◽  
Richard de Steiger ◽  
Belinda Gabbe
Keyword(s):  
Fracture Healing ◽  
Hospital Admissions ◽  
Femoral Shaft ◽  
Hospital Length Of Stay ◽  
Long Bone ◽  
Future Research ◽  
Related Factors ◽  
Femoral Shaft Fractures ◽  
Non Union ◽  
Shaft Fractures

Fracture healing complications are common and result in significant healthcare burden. The aim of this study was to determine the rate, costs and predictors of two-year readmission for surgical management of healing complications (delayed, mal, non-union) following fracture of the humerus, tibia or femur. Humeral, tibial and femoral (excluding proximal) fractures registered by the Victorian Orthopaedic Trauma Outcomes Registry over five years (n = 3962) were linked with population-level hospital admissions data to identify two-year readmissions for delayed, mal or non-union. Study outcomes included hospital length-of-stay (LOS) and inpatient costs. Multivariable logistic regression was used to determine demographic and injury-related factors associated with admission for fracture healing complications. Of the 3886 patients linked, 8.1% were readmitted for healing complications within two years post-fracture, with non-union the most common complication and higher rates for femoral and tibial shaft fractures. Admissions for fracture healing complications incurred total costs of $4.9 million AUD, with a median LOS of two days. After adjusting for confounders, patients had higher odds of developing complications if they were older, receiving compensation or had tibial or femoral shaft fractures. Patients who are older, with tibial and femoral shaft fractures should be targeted for future research aimed at preventing complications.

SCAPHOID BONE BRUISING – PROBABLY NOT THE PRECURSOR OF ASYMPTOMATIC NON-UNION OF THE SCAPHOID

2007 ◽  
Vol 32 (3) ◽  
pp. 337-340 ◽  
Author(s):  
N. LA HEI ◽  
I. MCFADYEN ◽  
M. BROCK ◽  
J. FIELD
Keyword(s):  
Bone Marrow ◽  
Clinical Outcomes ◽  
Classification System ◽  
Complete Resolution ◽  
Scaphoid Bone ◽  
Bone Bruise ◽  
Radiological Findings ◽  
Non Union ◽  
Bone Bruising

The MRI finding of bone marrow oedema, without fracture, following trauma to the scaphoid has been called a ‘bone bruise’. A similar injury is found in the knee, considered benign and managed conservatively. In the scaphoid, there is the concern that this lesion may lead to scaphoid non-union. This study addresses that concern. The clinical and radiological findings of 41 patients with a scaphoid bone bruise on MRI are described, an MRI classification system proposed and clinical outcomes investigated. Patients were immobilised for 6 weeks. At 3 months, 8 remained symptomatic and had repeat MRI. Four of these showed complete resolution of the bruise, the others improvement. At 6 months, 2 of the 8 complained of minor, intermittent discomfort but progressed to resolution of symptoms. This study suggests that the scaphoid bone bruise is a benign injury with predictable recovery and is unlikely to result in long-term morbidity in the form of non-union.

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