Volume 8, 2022
|Number of page(s)||5|
|Published online||23 May 2022|
Plate augmentation and bone grafting in treatment of femoral shaft nonunion initially fixed by intramedullary nail
Orthopaedic Department, Sohag University Hospital, 82524 Sohag, Egypt
* Corresponding author: email@example.com
Accepted: 1 May 2022
Introduction: This study aims to evaluate the results of plate augmentation and bone grafting without removing the nail in the treatment of nonunited, nailed femoral shaft fractures. Methods: Twenty patients with atrophic nonunion femoral shaft fractures initially fixed by intramedullary nail were treated by augmentation plating and iliac bone graft with retention of the nail. Patients were evaluated at regular intervals using an X-ray and Wu scoring system, which assesses clinical and radiological signs of healing. Results: All 20 patients achieved bony union at a mean time of 4.9 months (3–8 months). According to Wu’s score, 12 cases showed excellent results, and 8 cases obtained good results with no complications recorded. Conclusion: augmentation plating and iliac bone graft provide a good and safe method of treatment of previously nailed and non-united femoral shaft fractures.
Level of evidence: Level 4; Case Series.
Key words: Plate augmentation / Bone graft / Nonunion / Femoral shaft / Intramedullary nail
© The Authors, published by EDP Sciences, 2022
This is an Open Access article distributed under the terms of the Creative Commons Attribution License (https://creativecommons.org/licenses/by/4.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
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