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...

Descripción completa

Detalles Bibliográficos
Autores principales: Mohamed, Mohamed A., Noaman, Hassan H., Soroor, Yasser O., Elsayed, Moustafa
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