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Cortical bridging a union predictor: A prospective study after intramedullary nailing of the femoral shaft fractures
Early prediction of the union helps for timely intervention, reduction of hospitalization, treatment costs, and disability in cases of nonunion. With this in mind, we tried to find how long any cortical bridging predicts the union in femoral shaft fractures. A prospective study of 113 femoral shaft...
Autores principales: | , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
PAGEPress Publications, Pavia, Italy
2022
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9830402/ https://www.ncbi.nlm.nih.gov/pubmed/36305702 http://dx.doi.org/10.4081/ejtm.2022.10835 |
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author | Najafi, Arvin Shahbazi, Parmida Azarsina, Salman Zargar, Danoosh Kahrizi, Mohammad Saeed Hadavi, Dorsa Minaei-Noshahr, Reza |
author_facet | Najafi, Arvin Shahbazi, Parmida Azarsina, Salman Zargar, Danoosh Kahrizi, Mohammad Saeed Hadavi, Dorsa Minaei-Noshahr, Reza |
author_sort | Najafi, Arvin |
collection | PubMed |
description | Early prediction of the union helps for timely intervention, reduction of hospitalization, treatment costs, and disability in cases of nonunion. With this in mind, we tried to find how long any cortical bridging predicts the union in femoral shaft fractures. A prospective study of 113 femoral shaft fractures treated with reamed, locked intramedullary nailing was performed. Radiographs were taken during months 2 to 4, 6, 9, and one-year follow-up. The cortical bridging (presence and number) was assessed by anterior-posterior and lateral views. The ROC curve provides the prediction of the union. The overall nonunion rate was 10.6% (12 of 113 fractures). Age and diabetes mellitus were statistically significant with nonunion (p value < 0.001). The final analysis demonstrated that any cortical bridging at four months postoperatively was the most accurate and earlier indicator (105 of 113, 92.9% accuracy), while it was 84.9% at six months in bicortical and 80.5% accuracy at nine months in tricortical bridging. Low-cost and simple radiographic imaging presents cortical bridging in any form 4 months after surgery that precisely predicts a union in femoral shaft fractures. |
format | Online Article Text |
id | pubmed-9830402 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | PAGEPress Publications, Pavia, Italy |
record_format | MEDLINE/PubMed |
spelling | pubmed-98304022023-01-11 Cortical bridging a union predictor: A prospective study after intramedullary nailing of the femoral shaft fractures Najafi, Arvin Shahbazi, Parmida Azarsina, Salman Zargar, Danoosh Kahrizi, Mohammad Saeed Hadavi, Dorsa Minaei-Noshahr, Reza Eur J Transl Myol Article Early prediction of the union helps for timely intervention, reduction of hospitalization, treatment costs, and disability in cases of nonunion. With this in mind, we tried to find how long any cortical bridging predicts the union in femoral shaft fractures. A prospective study of 113 femoral shaft fractures treated with reamed, locked intramedullary nailing was performed. Radiographs were taken during months 2 to 4, 6, 9, and one-year follow-up. The cortical bridging (presence and number) was assessed by anterior-posterior and lateral views. The ROC curve provides the prediction of the union. The overall nonunion rate was 10.6% (12 of 113 fractures). Age and diabetes mellitus were statistically significant with nonunion (p value < 0.001). The final analysis demonstrated that any cortical bridging at four months postoperatively was the most accurate and earlier indicator (105 of 113, 92.9% accuracy), while it was 84.9% at six months in bicortical and 80.5% accuracy at nine months in tricortical bridging. Low-cost and simple radiographic imaging presents cortical bridging in any form 4 months after surgery that precisely predicts a union in femoral shaft fractures. PAGEPress Publications, Pavia, Italy 2022-10-28 /pmc/articles/PMC9830402/ /pubmed/36305702 http://dx.doi.org/10.4081/ejtm.2022.10835 Text en https://creativecommons.org/licenses/by-nc/4.0/This article is distributed under the terms of the Creative Commons Attribution Noncommercial License (by-nc 4.0) which permits any noncommercial use, distribution, and reproduction in any medium, provided the original author(s) and source are credited. |
spellingShingle | Article Najafi, Arvin Shahbazi, Parmida Azarsina, Salman Zargar, Danoosh Kahrizi, Mohammad Saeed Hadavi, Dorsa Minaei-Noshahr, Reza Cortical bridging a union predictor: A prospective study after intramedullary nailing of the femoral shaft fractures |
title | Cortical bridging a union predictor: A prospective study after intramedullary nailing of the femoral shaft fractures |
title_full | Cortical bridging a union predictor: A prospective study after intramedullary nailing of the femoral shaft fractures |
title_fullStr | Cortical bridging a union predictor: A prospective study after intramedullary nailing of the femoral shaft fractures |
title_full_unstemmed | Cortical bridging a union predictor: A prospective study after intramedullary nailing of the femoral shaft fractures |
title_short | Cortical bridging a union predictor: A prospective study after intramedullary nailing of the femoral shaft fractures |
title_sort | cortical bridging a union predictor: a prospective study after intramedullary nailing of the femoral shaft fractures |
topic | Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9830402/ https://www.ncbi.nlm.nih.gov/pubmed/36305702 http://dx.doi.org/10.4081/ejtm.2022.10835 |
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