Details

Autor(en) / Beteiligte

• Ateschrang, Atesch
• Albrecht, Dirk
• Stöckle, Ulrich
• Weise, Kuno
• Stuby, Fabian
• Zieker, Derek

Titel

High Success Rate for Augmentation Compression Plating Leaving the Nail In Situ for Aseptic Diaphyseal Tibial Nonunions

Ist Teil von

• Journal of orthopaedic trauma, 2013-03, Vol.27 (3), p.145-149

Ort / Verlag

United States: Lippincott Williams & Wilkins, Inc

Erscheinungsjahr

2013

Quelle

MEDLINE

Beschreibungen/Notizen

• OBJECTIVES:To evaluate adjunctive compression plating leaving the previously unreamed inserted intramedullary nail (URIMN) in situ for treating a resultant diaphyseal tibial nonunion. DESIGN:Retrospective study. SETTING:Level 1 trauma center (University Hospital). PATIENTS/PARTICIPANTS:Patients treated by URIMN for diaphyseal tibial fractures that developed an aseptic hypertrophic nonunion. INTERVENTION:Dynamization of the nail and compression plating leaving the URIMN in situ. MAIN OUTCOME MEASUREMENTS:Radiographic and clinical parameters. RESULTS:The mean follow-up was 3.8 years (range 2–7 years). Mean time for healing was 15 weeks with a mean operation time of 63 minutes. Union occurred in 27/28 (96.4%). There were no infections. CONCLUSIONS:This simple technique seems to have a high success rate and should be considered when a nonunion occurs after URIMN. The need for an additional incision and removal of symptomatic implants remains a disadvantage. LEVEL OF EVIDENCE:Therapeutic Level IV. See Instructions for Authors for a complete description of levels of evidence.