Plate augmentation for femoral nonunion: more than just a salvage tool?

J. C. Chiang, J. E. Johnson, I. S. Tarkin, P. A. Siska, D. J. Farrell, Matthew A Mormino

Research output: Contribution to journalArticle

7 Citations (Scopus)

Abstract

Objective: The aim of the current study was to determine whether plate augmentation was a successful treatment algorithm for selected femoral nonunions initially managed with intramedullary nailing. Materials and methods: A total of 30 femoral nonunion cases were managed using the plate augmentation strategy with 13 primary cases and 17 multi-operated femurs (avg 2.8 ineffective procedures). Adjunctive strategies included autologous bone grafting and/or BMP for atrophic/oligotrophic and bone defect cases. Deformity correction was performed when required. Results: Osseous union occurred in 29 of 30 cases. One multi-operated case with bone defect and prior infection required repeat autologous grafting prior to union. Conclusion: Plate augmentation should be added to the armamentarium for management of selected femoral nonunion that have failed initial intramedullary nailing.

Original languageEnglish (US)
Pages (from-to)149-156
Number of pages8
JournalArchives of Orthopaedic and Trauma Surgery
Volume136
Issue number2
DOIs
StatePublished - Feb 1 2016

Fingerprint

Thigh
Intramedullary Fracture Fixation
Bone and Bones
Bone Transplantation
Femur
Infection
Therapeutics

Keywords

  • Bone graft
  • Exchange nail
  • Femur nonunion
  • Intramedullary nail
  • Plate augmentation

ASJC Scopus subject areas

  • Surgery
  • Orthopedics and Sports Medicine

Cite this

Plate augmentation for femoral nonunion : more than just a salvage tool? / Chiang, J. C.; Johnson, J. E.; Tarkin, I. S.; Siska, P. A.; Farrell, D. J.; Mormino, Matthew A.

In: Archives of Orthopaedic and Trauma Surgery, Vol. 136, No. 2, 01.02.2016, p. 149-156.

Research output: Contribution to journalArticle

Chiang, J. C. ; Johnson, J. E. ; Tarkin, I. S. ; Siska, P. A. ; Farrell, D. J. ; Mormino, Matthew A. / Plate augmentation for femoral nonunion : more than just a salvage tool?. In: Archives of Orthopaedic and Trauma Surgery. 2016 ; Vol. 136, No. 2. pp. 149-156.
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