[article] 
inActa Orthopaedica Belgica > Vol. 85/2 (Juin 2019) . - p. 205-209

Titre :	Plate augmentation combined with bone grafting for aseptic non-union of femoral shaft fractures following interlocking nails
Type de document :	texte imprimé
Auteurs :	Hany El Zahlawy
Année de publication :	2019
Article en page(s) :	p. 205-209
Langues :	Anglais (eng)
Mots-clés :	Pseudarthrose fémorale  Augmentation de la plaque  Clous orthopédiques
Résumé :	The aim of this study was to evaluate plate augmentation over previously inserted interlocking nails, combined with iliac bone grafting in treating aseptic femoral shaft non-unions. The research was conducted prospectively on 34 patients. A narrow dynamic compression plate was placed while the nail was retained. All the screws were directed posterior to the nail. There were 25 males and 9 females with mean age of 36.6 years old. The mean operative time was 95 minutes with 320ml blood loss. 28 patients showed solid healing by 6 months postoperatively (82%). By 8 months, all patients showed solid union (mean 6.3 months). Full range was regained in both hips and knees and all patients could walk bearing full weight without supportive devices by 8 months. Where non-union occurs over an interlocking nail, augmenting it with a plate and bone grafting appears to be an effective treatment method to obtain solid union.
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[article] Plate augmentation combined with bone grafting for aseptic non-union of femoral shaft fractures following interlocking nails [texte imprimé] / Hany El Zahlawy . - 2019 . - p. 205-209.
Langues : Anglais (eng)
in Acta Orthopaedica Belgica > Vol. 85/2 (Juin 2019) . - p. 205-209

Mots-clés :	Pseudarthrose fémorale  Augmentation de la plaque  Clous orthopédiques
Résumé :	The aim of this study was to evaluate plate augmentation over previously inserted interlocking nails, combined with iliac bone grafting in treating aseptic femoral shaft non-unions. The research was conducted prospectively on 34 patients. A narrow dynamic compression plate was placed while the nail was retained. All the screws were directed posterior to the nail. There were 25 males and 9 females with mean age of 36.6 years old. The mean operative time was 95 minutes with 320ml blood loss. 28 patients showed solid healing by 6 months postoperatively (82%). By 8 months, all patients showed solid union (mean 6.3 months). Full range was regained in both hips and knees and all patients could walk bearing full weight without supportive devices by 8 months. Where non-union occurs over an interlocking nail, augmenting it with a plate and bone grafting appears to be an effective treatment method to obtain solid union.
Permalink :	./index.php?lvl=notice_display&id=92201