Augmentative Plating in the Treatment of Femoral Nonunion after Intramedullary Nail Fixation

CONCLUSIONS: A high proportion of individuals with femoral nonunion after IMN fixation were salvaged by AP and an autogenous bone graft. Bi-cortical plate and screw intersection of more than six cortices may increase the treatment effectiveness.LIMITATIONS: There were limitations of this study. First, it was a retrospective study over a 10-year period, and the patients were treated by different orthopedic surgeons. Second, lack of functional evaluation is another limitation of the present work.GENERALIZABILITY: The technique of bi-cortical plate and screw intersection of more than six cortices is not difficult for experienced orthopedic surgeons, and no special surgical tools is required.CLOSING STATEMENT: Many literature has confirmed the good effect of APP technology in treating femoral nonunion after intramedullary nail fixation, but there are still cases of failure. Our study may enable this technology to achieve better therapeutic effects.PMID:37708546
Source: Alternative Therapies in Health and Medicine - Category: Complementary Medicine Authors: Source Type: research