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Plate augmentation combined with bone grafting for aseptic non-union of femoral shaft fractures following interlocking nails / Hany El Zahlawy in Acta Orthopaedica Belgica, Vol. 85/2 (Juin 2019)
[article]
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. Permalink : ./index.php?lvl=notice_display&id=92201
in Acta Orthopaedica Belgica > Vol. 85/2 (Juin 2019) . - p. 205-209[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 Exemplaires (1)
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