Cargando…

Resistant distal femoral nonunion treated with combined nail/plate construct and reamer-irrigator-aspirator technique

OBJECTIVE: This study was performed to evaluate the effectiveness of intramedullary nailing and a lateral locking plate combined with the reamer-irrigator-aspirator (RIA) bone grafting technique for resistant distal femoral nonunion. METHODS: This retrospective observational study was performed from...

Descripción completa

Detalles Bibliográficos
Autores principales: Zhang, Jin-Hui, Liu, Hui, Cai, Tao-Yi, Lin, Yong-Zhi, Wu, Jin
Formato: Online Artículo Texto
Lenguaje:English
Publicado: SAGE Publications 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10387779/
https://www.ncbi.nlm.nih.gov/pubmed/37498625
http://dx.doi.org/10.1177/03000605231187945
_version_ 1785081960047050752
author Zhang, Jin-Hui
Liu, Hui
Cai, Tao-Yi
Lin, Yong-Zhi
Wu, Jin
author_facet Zhang, Jin-Hui
Liu, Hui
Cai, Tao-Yi
Lin, Yong-Zhi
Wu, Jin
author_sort Zhang, Jin-Hui
collection PubMed
description OBJECTIVE: This study was performed to evaluate the effectiveness of intramedullary nailing and a lateral locking plate combined with the reamer-irrigator-aspirator (RIA) bone grafting technique for resistant distal femoral nonunion. METHODS: This retrospective observational study was performed from January 2018 to December 2021 and involved five patients who presented with resistant distal femoral nonunion despite undergoing several surgeries. They were treated with intramedullary nailing and a lateral locking plate combined with the RIA bone grafting technique. Postoperative follow-up was performed to observe the healing time, and functional outcomes were evaluated using the Lower Extremity Functional Scale (LEFS). RESULTS: After the patients had been monitored for a mean of 17.9 months, complete bone healing was observed in every patient (mean healing time of 4.8 months). Postoperative wound failure in an older patient was successfully treated with resuturing and nutritional assistance. At the last follow-up, the mean LEFS score was 71.2/80 and the mean knee flexion was 109 degrees. CONCLUSIONS: Our study demonstrates that combining intramedullary nailing and a lateral locking plate with the RIA bone grafting technique enhances biological properties, provides good structural support, and achieves good union and functional results in the management of resistant nonunion of the distal femur.
format Online
Article
Text
id pubmed-10387779
institution National Center for Biotechnology Information
language English
publishDate 2023
publisher SAGE Publications
record_format MEDLINE/PubMed
spelling pubmed-103877792023-08-01 Resistant distal femoral nonunion treated with combined nail/plate construct and reamer-irrigator-aspirator technique Zhang, Jin-Hui Liu, Hui Cai, Tao-Yi Lin, Yong-Zhi Wu, Jin J Int Med Res Retrospective Clinical Research Report OBJECTIVE: This study was performed to evaluate the effectiveness of intramedullary nailing and a lateral locking plate combined with the reamer-irrigator-aspirator (RIA) bone grafting technique for resistant distal femoral nonunion. METHODS: This retrospective observational study was performed from January 2018 to December 2021 and involved five patients who presented with resistant distal femoral nonunion despite undergoing several surgeries. They were treated with intramedullary nailing and a lateral locking plate combined with the RIA bone grafting technique. Postoperative follow-up was performed to observe the healing time, and functional outcomes were evaluated using the Lower Extremity Functional Scale (LEFS). RESULTS: After the patients had been monitored for a mean of 17.9 months, complete bone healing was observed in every patient (mean healing time of 4.8 months). Postoperative wound failure in an older patient was successfully treated with resuturing and nutritional assistance. At the last follow-up, the mean LEFS score was 71.2/80 and the mean knee flexion was 109 degrees. CONCLUSIONS: Our study demonstrates that combining intramedullary nailing and a lateral locking plate with the RIA bone grafting technique enhances biological properties, provides good structural support, and achieves good union and functional results in the management of resistant nonunion of the distal femur. SAGE Publications 2023-07-27 /pmc/articles/PMC10387779/ /pubmed/37498625 http://dx.doi.org/10.1177/03000605231187945 Text en © The Author(s) 2023 https://creativecommons.org/licenses/by-nc/4.0/Creative Commons Non Commercial CC BY-NC: This article is distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 License (https://creativecommons.org/licenses/by-nc/4.0/) which permits non-commercial use, reproduction and distribution of the work without further permission provided the original work is attributed as specified on the SAGE and Open Access pages (https://us.sagepub.com/en-us/nam/open-access-at-sage).
spellingShingle Retrospective Clinical Research Report
Zhang, Jin-Hui
Liu, Hui
Cai, Tao-Yi
Lin, Yong-Zhi
Wu, Jin
Resistant distal femoral nonunion treated with combined nail/plate construct and reamer-irrigator-aspirator technique
title Resistant distal femoral nonunion treated with combined nail/plate construct and reamer-irrigator-aspirator technique
title_full Resistant distal femoral nonunion treated with combined nail/plate construct and reamer-irrigator-aspirator technique
title_fullStr Resistant distal femoral nonunion treated with combined nail/plate construct and reamer-irrigator-aspirator technique
title_full_unstemmed Resistant distal femoral nonunion treated with combined nail/plate construct and reamer-irrigator-aspirator technique
title_short Resistant distal femoral nonunion treated with combined nail/plate construct and reamer-irrigator-aspirator technique
title_sort resistant distal femoral nonunion treated with combined nail/plate construct and reamer-irrigator-aspirator technique
topic Retrospective Clinical Research Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10387779/
https://www.ncbi.nlm.nih.gov/pubmed/37498625
http://dx.doi.org/10.1177/03000605231187945
work_keys_str_mv AT zhangjinhui resistantdistalfemoralnonuniontreatedwithcombinednailplateconstructandreamerirrigatoraspiratortechnique
AT liuhui resistantdistalfemoralnonuniontreatedwithcombinednailplateconstructandreamerirrigatoraspiratortechnique
AT caitaoyi resistantdistalfemoralnonuniontreatedwithcombinednailplateconstructandreamerirrigatoraspiratortechnique
AT linyongzhi resistantdistalfemoralnonuniontreatedwithcombinednailplateconstructandreamerirrigatoraspiratortechnique
AT wujin resistantdistalfemoralnonuniontreatedwithcombinednailplateconstructandreamerirrigatoraspiratortechnique