• Injury · Jul 2009

    Case Reports Multicenter Study

    Intramedullary nailing for the treatment of aseptic femoral shaft non-unions after plating failure: effectiveness and timing.

    • Panagiotis Megas, Spyros A Syggelos, Georgios Kontakis, Andreas Giannakopoulos, Georgios Skouteris, Elias Lambiris, and Elias Panagiotopoulos.
    • Orthopaedic Department of University of Patras, Greece.
    • Injury. 2009 Jul 1; 40 (7): 732-7.

    AbstractThis retrospective, multicentre study aimed to evaluate reamed intramedullary nailing (IMN) for the treatment of 30 cases of aseptic femoral shaft non-union after plating failure. Following nailing, 29 non-unions had healed by a mean 7.93 months. In one case a hypertrophic non-union required renailing after 8 months, using a nail of greater diameter, and united within five further months. Healing times were not related to whether the fracture was open or closed, the type non-union or the type of fracture. The delay from the initial plating to intramedullary nailing had a statistically significant effect on healing time and final outcome. This treatment is cost effective and should be implemented as soon as the non-union is diagnosed.

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