Treatment of aseptic diaphyseal nonunion of the lower extremities with exchange intramedullary nailing and blocking screws without open bone graft

Objective:  To report the preliminary results of the treatment of aseptic diaphyseal nonunion of the lower extremities with exchange nailing plus blocking screws. Methods:  Between June 2005 and September 2008, twelve patients with diaphyseal nonunion in the lower extremities (femur in five patients...

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Published inOrthopaedic surgery Vol. 1; no. 4; pp. 264 - 268
Main Authors Gao, Kan-da, Huang, Jian-hua, Li, Fan, Wang, Qiu-gen, Li, Hao-qing, Tao, Jie, Wang, Jian-dong, Wu, Xiao-ming, Wu, Xiao-feng, Zhou, Zi-hui, Wang, Fang, Lu, Hai-ming
Format Journal Article
LanguageEnglish
Published Melbourne, Australia Blackwell Publishing Asia 01.11.2009
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Summary:Objective:  To report the preliminary results of the treatment of aseptic diaphyseal nonunion of the lower extremities with exchange nailing plus blocking screws. Methods:  Between June 2005 and September 2008, twelve patients with diaphyseal nonunion in the lower extremities (femur in five patients and tibia in seven; hypertrophic nonunion in eight patients and atrophic nonunion in four) were treated by reaming, exchanging the original intramedullary nail with a larger one, and using blocking screws, and the therapeutic effect assessed. Results:  All patients were followed up for 1–2 years (average, 1.5 years) to assess union. Bony union was achieved in all patients within 4.7–13.5 months (average, 7.8 months). All patients were pain free without any complications by the last follow‐up. Conclusion:  The therapeutic method of exchanging the nail combined with blocking screws is effective for aseptic nonunion of the lower extremity after intramedullary nailing.
Bibliography:istex:9D23C9026E1087874EE00D8DD82E0ED2BD15A477
ark:/67375/WNG-JV7G0G3C-2
ArticleID:OS41
ISSN:1757-7853
1757-7861
DOI:10.1111/j.1757-7861.2009.00041.x