Volume 21, Number 2 (May-Jun 2013)                   JSSU 2013, 21(2): 172-178 | Back to browse issues page


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Farahini H, Behnam A, Yeganeh A. Result of Femoral Fracture Non:union: Surgery with Plating and Bone Graft. JSSU. 2013; 21 (2) :172-178
URL: http://jssu.ssu.ac.ir/article-1-2424-en.html

Abstract:   (4873 Views)
Introduction: Close reduction and intra medullary nailing has been established as the treatment for femoral shaft fractures with a non::union:: rate of 0.9-1.1 % though, it is still controversial. Currently, the most accepted method for treatment of non ::union:: is exchange nailing. Therefore, this study aimed to investigate treatment of femoral shaft fractures non ::union:: via 2 methods of exchange nailing with bone graft and nail removal, and plating with bone graft. Methods: In this case series study, we included all patients with aseptic non::union:: femoral fracture who referred to Rasool-Akram hospital from 2007 to 2012 and were clinically indicated for reoperation for non::union:: after primary intra medullary nailing. Patients were assessed clinically and radiologically. The patients were treated via either method according to the type of non::union:: (atrophic, oligotrophic, hypertrophic). Collected data were recorded in check lists and analyzed with SPSS V.18 software. Results: Of 23 patients with mean age of 30.4±8.5 years, 13 (56%) were treated by exchange nailing with bone graft and 10 (44%) treated by plating and bone graft. Complete ::union:: was achieved in 85.7% of patients treated by exchange nailing and bone graft and in 90.9 % of patients treated with plating with bone graft. No leg length discrepancy, pain and infection were reported. Conclusion: This study suggests that treatment results of non::union:: femoral fractures with plating bone graft method is as good as or even better than exchange nailing with bone graft. In addition, the prevalence of femoral fracture non::union:: seems to be more than what was expected before.
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Type of Study: Original article | Subject: other
Received: 2013/06/3 | Accepted: 2013/09/28 | Published: 2013/09/28

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