Outcome of Plate Augmentation in Management of Tibial Nonunion After Intramedullary Nailing

Background: Despite the multitude of studies on non union no clear criterion has been established for declaring a fracture as united. A diagnosis is unjustified, however, until clinical or radiographic evidence shows that healing ceased and highly improbable. shaft long bone should not be considered at least 6 months after injury. The incidence in varies with each methods treating acute fractures. More recently, tibia probably most frequent site union. Nonunion following intramedullary fixation tibial fractures challenge. Although reamed exchange nailing results are encouraging rates, could extremely challenging due to situations when nail removal difficult. Augmentation plates gained popularity management femoral nonunion few reports nonunion. aim current study present our augmentation plate nail. Patient methods: From 2017 till 2021, 20 cases nonunited fixed by IM nails was included. without removing addition autogenous iliac graft. Results: Union obtained all (20 cases) an average time about 6.22 (range 3-12 months). Complications included 3 casea superficial infection parasthesia graft site. Conclusion: Plate good option aseptic excellent complications.