Reamed intramedullary exchange nailing in the operative treatment of aseptic tibial shaft nonunion

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Reamed intramedullary exchange nailing: treatment of choice of aseptic femoral shaft nonunion

BACKGROUND The aim of this study was to evaluate a standardized method of treatment of femoral nonunion of the isthmal femur excluding non-united metaphyseal fractures. METHODS Between 2003 and 2010, 72 consecutive patients with nonunion of the femoral shaft were operated using a standardized protocol in our trauma department and followed up for successful union and functional result. RESUL...

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Comparing the Effect of Reamed Exchange Nailing and Augmentation Compression Plating in Treatment of Femoral Shaft Nonunion

 Background and purpose: One of the most important complications of bone fractures is nonunion. This research aimed at comparing the effect of exchange nailing and plate augmentation on complications after surgery and the time to achieve desired outcomes. Materials and methods: This descriptive-analytical study was conducted in 12 femoral shaft nonunion cases treated operatively in 2011-2018 (...

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Use of reamed locked intramedullary nailing in the treatment of aseptic diaphyseal tibial non-union.

BACKGROUND Tibial fractures have been associated with the highest rates of bone union disturbances for many years. Stabilization of the tibial shaft with a reamed intramedullary nail is now being increasingly recommended as a treatment of choice. The aim of this study was to evaluate the outcomes of treatment of tibial shaft non-union with reamed intramedullary nails locked distally and proxima...

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Aseptic nonunion of a femoral shaft treated using exchange nailing.

BACKGROUND There are many methods for treating femoral shaft aseptic nonunions of which exchange nailing is the simplest technique. However, the reported success rate varies. Therefore, a prospective study was conducted to further clarify the role of exchange nailing. METHODS From October 1994 through December 1999, 40 femoral shaft aseptic nonunions in 39 patients were treated using exchange...

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Exchange nailing for aseptic tibial shaft nonunion: emphasis on the influence of a concomitant fibulotomy.

BACKGROUND Exchange nailing is reported to have a high success rate for aseptic tibial nonunions. However, sample sizes in all series in the literature were small, and the influence of a concomitant fibulotomy was not evaluated. METHODS Fifty-four aseptic tibial shaft nonunions for 1.2 approximately 4.3 (mean, 2.4) years were treated with exchange nailing. Indications for this technique inclu...

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ژورنال

عنوان ژورنال: International Orthopaedics

سال: 2016

ISSN: 0341-2695,1432-5195

DOI: 10.1007/s00264-016-3317-x