Newsletter
Language
Language:
 
News
Archival Issues
Volume 19, 2017
Volume 18, 2016
Volume 17, 2015
Volume 16, 2014
Volume 15, 2013
Volume 14, 2012
Volume 13, 2011
Volume 12, 2010
Volume 11, 2009
Volume 10, 2008
Volume 9, 2007
Volume 8, 2006
Volume 7, 2005
Volume 6, 2004
Volume 5, 2003
Volume 4, 2002
Volume 3, 2001
Volume 2, 2000
Volume 1, 1999
Search
 » 
Journal Abstract
 
Treatment of femoral shaft union disturbances with intramedullary nailing. Treatment failure
Tadeusz Niedźwiedzki, Jarosław Brudnicki, Łukasz Niedźwiedzki
Ortop Traumatol Rehabil 2007; 9(4):377-383
ICID: 501584
Article type: Original article
IC™ Value: 7.12
Abstract provided by Publisher
 
Introduction: The paper contains an analysis of the treatment outcomes of intramedullary nailing for femoral shaft non-union. Materials: Twenty-two patients were treated between 1999 and 2005 with locked intramedullary nailing for femoral shaft non-union. The average age was 38.2 years (range 17-79). The study group comprised 20 males and 2 females. The right femur was affected in 12 patients, and the left in 10 patients. All patients had undergone multiple operations to treat the non-union. At the time of the study, non-union had been present for a period ranging from 9 months to as much as 10 years. Stabilisation with an intramedullary nail was preceded by reaming of the medullary cavity. Nails of different diameter were used (11-16 mm, usually 11 or 13 mm). Both static and dynamic locking was used. Surgery was confined to stabilization with an intramedullary nail in 13 patients, and 9 patients additionally underwent the Judet-Forbes decortication procedure, bone grafting or internal plate fixation and osteomuscular decortication.
Results: The non-union healed in 19 patients and was not achieved in the remaining 3. A detailed analysis was performed in 9 cases in which the bone union was not achieved despite reaming the medullary cavity, nailing and additional procedures, which did not lead to bone healing in 3 patients.
Conclusions:D espite being an acknowledged method of treatment for delayed union of long-bone shafts, intramedullary nailing following reaming of the medullary cavity did not result in bone healing in all of our patients and additional procedures were often required. Therefore, the use of this procedure for femoral shaft pseudoarthroses should be decided on a case-by-case basis.

ICID 501584
PMID 17882117 - click here to show this article in PubMed
 
FULL TEXT 552 KB


Related articles
  • in IndexCopernicus™
         intramedullary nail [3 related records]
         pseudoarthrosis [11 related records]
         non-union [2 related records]
         Femur [115 related records]
         brak zrostu [5 related records]

  • Related articlesin PubMed database
  • in PubMed database [ related records]


  •  

    Copyright © Ortopedia Traumatologia Rehabilitacja  2017
    Page created by Index Copernicus Ltd. All Rights reserved.