Intramedullary nailing and reaming for delayed union or nonunion of the femoral shaft. A report of 105 consecutive cases

One hundred five consecutive patients with a diagnosis of delayed union (61 patients) or nonunion (44 patients) of the femoral shaft from February 1968 to November 1983 were managed by intramedullary reaming and nailing. The procedure was accomplished by closed techniques in 82 of the cases. Adequat...

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Veröffentlicht in:Clinical orthopaedics and related research 1986-11, Vol.212 (212), p.133-141
Hauptverfasser: Webb, L X, Winquist, R A, Hansen, S T
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container_title Clinical orthopaedics and related research
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creator Webb, L X
Winquist, R A
Hansen, S T
description One hundred five consecutive patients with a diagnosis of delayed union (61 patients) or nonunion (44 patients) of the femoral shaft from February 1968 to November 1983 were managed by intramedullary reaming and nailing. The procedure was accomplished by closed techniques in 82 of the cases. Adequate follow-up study was obtained in 101 patients; all but four showed clinical and radiologic union at an average of 20 weeks following the procedure, with an overall union rate of 96%. The four patients whose fractures failed to consolidate with this treatment had repeat procedures with placement of thicker nails, and all subsequently healed.
doi_str_mv 10.1097/00003086-198611000-00015
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source MEDLINE; Journals@Ovid Complete
subjects Adult
Bone Nails - adverse effects
Female
Femoral Fractures - surgery
Fracture Fixation, Intramedullary - methods
Fractures, Ununited - surgery
Humans
Male
Reoperation
Time Factors
Wound Healing
title Intramedullary nailing and reaming for delayed union or nonunion of the femoral shaft. A report of 105 consecutive cases
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