Cargando…
Plate augmentation and bone grafting in treatment of femoral shaft nonunion initially fixed by intramedullary nail
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 t...
Autores principales: | , , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
EDP Sciences
2022
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9128607/ https://www.ncbi.nlm.nih.gov/pubmed/35608412 http://dx.doi.org/10.1051/sicotj/2022020 |
_version_ | 1784712587336744960 |
---|---|
author | Mohamed, Mohamed A. Noaman, Hassan H. Soroor, Yasser O. Elsayed, Moustafa |
author_facet | Mohamed, Mohamed A. Noaman, Hassan H. Soroor, Yasser O. Elsayed, Moustafa |
author_sort | Mohamed, Mohamed A. |
collection | PubMed |
description | 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. |
format | Online Article Text |
id | pubmed-9128607 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | EDP Sciences |
record_format | MEDLINE/PubMed |
spelling | pubmed-91286072022-06-10 Plate augmentation and bone grafting in treatment of femoral shaft nonunion initially fixed by intramedullary nail Mohamed, Mohamed A. Noaman, Hassan H. Soroor, Yasser O. Elsayed, Moustafa SICOT J Original Article 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. EDP Sciences 2022-05-23 /pmc/articles/PMC9128607/ /pubmed/35608412 http://dx.doi.org/10.1051/sicotj/2022020 Text en © The Authors, published by EDP Sciences, 2022 https://creativecommons.org/licenses/by/4.0/This is an Open Access article distributed under the terms of the Creative Commons Attribution License (https://creativecommons.org/licenses/by/4.0 (https://creativecommons.org/licenses/by/4.0/) ), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Original Article Mohamed, Mohamed A. Noaman, Hassan H. Soroor, Yasser O. Elsayed, Moustafa Plate augmentation and bone grafting in treatment of femoral shaft nonunion initially fixed by intramedullary nail |
title | Plate augmentation and bone grafting in treatment of femoral shaft nonunion initially fixed by intramedullary nail |
title_full | Plate augmentation and bone grafting in treatment of femoral shaft nonunion initially fixed by intramedullary nail |
title_fullStr | Plate augmentation and bone grafting in treatment of femoral shaft nonunion initially fixed by intramedullary nail |
title_full_unstemmed | Plate augmentation and bone grafting in treatment of femoral shaft nonunion initially fixed by intramedullary nail |
title_short | Plate augmentation and bone grafting in treatment of femoral shaft nonunion initially fixed by intramedullary nail |
title_sort | plate augmentation and bone grafting in treatment of femoral shaft nonunion initially fixed by intramedullary nail |
topic | Original Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9128607/ https://www.ncbi.nlm.nih.gov/pubmed/35608412 http://dx.doi.org/10.1051/sicotj/2022020 |
work_keys_str_mv | AT mohamedmohameda plateaugmentationandbonegraftingintreatmentoffemoralshaftnonunioninitiallyfixedbyintramedullarynail AT noamanhassanh plateaugmentationandbonegraftingintreatmentoffemoralshaftnonunioninitiallyfixedbyintramedullarynail AT sorooryassero plateaugmentationandbonegraftingintreatmentoffemoralshaftnonunioninitiallyfixedbyintramedullarynail AT elsayedmoustafa plateaugmentationandbonegraftingintreatmentoffemoralshaftnonunioninitiallyfixedbyintramedullarynail |