J Korean Fract Soc.  2004 Jul;17(3):265-270. 10.12671/jkfs.2004.17.3.265.

Augmentation Plate Fixation for the Management of Long-bone Nonunion after Intramedullary Nailing

• Lee KH
• Kim HM
• Moon CW
• Kim YS
• Nam WS

• KMID: 1583688
• DOI: http://doi.org/10.12671/jkfs.2004.17.3.265

Abstract

PURPOSE: The aims of this study were to determine the effectiveness of the treatment using augmentation plate fixation for nonunion of long bone fracture after interlocking intramedullary nailing
MATERIALS AND METHODS
Thirteen patients with nonunion of the long bone fracture after interlocking intramedullary nailing who underwent augmentation plate fixation were evaluated; followed up for more than 1 years. We evaluated five patients with nonunion of the humerus, three of the tibia and five of the femur. Twelve of thirteen patients were carried out autogenous cancellous bone graft and augmentation plate fixation was performed without removal of intramedullary nail for all patients.
RESULTS
For the cause of nonunion, seven patients were by iatrogenic factors such as insecure fixaton and six patients were by fracture itself such as severe comminution and open fracture. Bone union was achieved in thirteen patients all and the average bony union time was 4.2 months (ranged from 3 to 5.5 months) for the humerus, 6.4 months (ranged from 4 to 8.5 months) for the tibia and 7.3 months (ranged from 5.5 to 9 months) for the femur. There were no complications such as reoperation, infection or plate failure.
CONCLUSION
TAugmentation plate fixation is effective treatment option for the management of long bone fracture nonunion after intramedullary nailing.

Keyword

Nonunion; Interlocking intramedullary nailing; Augmentation plate

MeSH Terms

Femur
Fracture Fixation, Intramedullary*
Fractures, Bone
Fractures, Open
Humans
Humerus
Reoperation
Tibia
Transplants