Augmentative Ilizarov External Fixation After Failure of Diaphyseal Union With Intramedullary Nailing

Menon, Dipen K.; Dougall, T.W.; Pool, R. D.; Simonis, R. B.

doi:10.1097/00005131-200208000-00007

Cited by 63 publications

(28 citation statements)

References 18 publications

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“…Adaptations of the technique include stabilization and bone transport over an intramedullary nail. [5][6][7][8][9][10][11] Distraction osteogenesis has several disadvantages, including long and labor-intensive treatment times, a high risk of complications, patient discomfort, and scarring. Furthermore, distraction osteogenesis requires significant technical expertise, limiting the number of surgeons qualified to perform the procedure and, hence, access for patients.…”

Section: Introductionmentioning

confidence: 99%

Elucidating Multiscale Periosteal Mechanobiology: A Key to Unlocking the Smart Properties and Regenerative Capacity of the Periosteum?

Evans

Chang

Tate

2013

Tissue Engineering Part B: Reviews

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Section: Introductionmentioning

confidence: 99%

Elucidating Multiscale Periosteal Mechanobiology: A Key to Unlocking the Smart Properties and Regenerative Capacity of the Periosteum?

Evans

Chang

Tate

2013

Tissue Engineering Part B: Reviews

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“…Currently, there are several options in the treatment of femoral non-union after intramedullary nailing: reamed exchange nailing [5,6,13], dynamization [16], nail removal followed by plating [2], stable fixation with or without bone grafting [3,11,12], and external fixation [9]. Reamed exchange nailing results in few complications, does not require bone grafting, and offers the benefit of early rehabilitation.…”

Section: Introductionmentioning

confidence: 99%

“…The retained nail acts as a useful load-sharing device, neutralizing the shear forces on the non-union site [9] and maintaining alignment of the fracture. Plate augmentation leaving the nail in situ does not require an extensive surgical approach to the bone, as does the conventional plate technique.…”

Section: Introductionmentioning

confidence: 99%

Plate augmentation leaving the nail in situ and bone grafting for non-union of femoral shaft fractures

Kim

2005

International Orthopaedics (SICOT)

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We reviewed 15 patients with femoral nonunion after interlocking intramedullary nailing treated with plate augmentation and bone grafting with the nail in situ. The mean time from primary nailing to plate augmentation and bone grafting was 10 months. At the time of presentation, the patients had undergone an average of 1.6 operations from the time of their original injury. To achieve stability of the fracture, we applied an AO plate on the lateral aspect of the femur. The retained nail maintained alignment of the fracture, and plating did not require an extensive surgical approach. In all patients, there was visible motion at the fracture site; however, the motion disappeared after plate augmentation. All patients achieved radiological solid union at an average of 7.2 months.

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“…In numerous cases, the origin of bone healing disturbances is incorrect treatment or technical failure [9,10,13,18,23,24,[30][31][32][33][34][35][36][37]. A waiting period without any kind of treatment after the normal healing period makes no sense.…”

Section: Figures 5a To 5dmentioning

confidence: 99%

“…Several authors [28,32,34] do not remove unstable implants without function from the fracture site. They suggest the use of additional implants (plate, external fixator).…”

Section: Figures 5a To 5dmentioning

confidence: 99%

Reconstruction after Bone Healing Problems in Humeral Shaft Fractures

Sárváry

Feczkó

2003

European Journal of Trauma

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Background: Categorization and therapy of bone healing disturbances of diaphyseal humeral fractures vary in the literature. Patients and Methods: A consecutive series of 25 revisions for bone healing disturbances was reviewed retrospectively. Timing of revisions, characteristics of delayed healing and nonunions, various operative techniques, duration of bony consolidation, and 1-year functional results were recorded. Results: The indication for revision was delayed healing in 52% of cases and nonunion in 48%. One hypertrophic, 15 normotrophic, seven hypotrophic, and two lytic fracture sites were seen. For stabilization, the operative method used was closed in 28% of cases, open in 40%, and combined in 32%. The rate of bony consolidation amounted to 96%, and the average duration of bone healing was 5.7 months. One of the two septic complications observed healed after metal removal. The second patient died from a preexisting disease. Operative technical complications, iatrogenic radial nerve damage, and metal loosening were not detected. Timing of revision and an adequate operative method form the basis of successful treatment. Conclusion: With the protocol suggested, hospitalization time and financial costs to the patient, muscle and bone atrophy, and contractures of the elbow and shoulder can be lowered significantly. Furthermore, it allows to optimally correct complications of primary treatment and/or earlier revisions.

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Augmentative Ilizarov External Fixation After Failure of Diaphyseal Union With Intramedullary Nailing

Abstract: There is a role for the use of the Ilizarov fixator with nail retention in resistant long bone diaphyseal nonunion in carefully selected patients. This method can achieve high union rates where other treatment methods have failed.

Cited by 63 publications

References 18 publications

Elucidating Multiscale Periosteal Mechanobiology: A Key to Unlocking the Smart Properties and Regenerative Capacity of the Periosteum?

Elucidating Multiscale Periosteal Mechanobiology: A Key to Unlocking the Smart Properties and Regenerative Capacity of the Periosteum?

Plate augmentation leaving the nail in situ and bone grafting for non-union of femoral shaft fractures

Reconstruction after Bone Healing Problems in Humeral Shaft Fractures

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