Nonunion of the femoral shaft fracture has been reported with predisposing factor listed as open fracture, infection, inadequete immobilization, distraction, and soft tissue interposition.
Many kinds of treatment for nonunion have been studied but rigid fixation and bone graft have been the most commonly used method.
It is often difficult to achieve bony union and eradicate eradicate infection in treating infected nonunion.
Authors have experienced 14 cases of nonunion of femoral shaft fracture and solid union in cases by osteoynthesis accompanied by Autogenous bone graft.
@ES The results were as follows:
@EN 1. The frequently invelved site of nonuion were middle 12 cases, distal 2 cases ad male patients were predominant over the females.
2. Cause of nonuion were infection 5 cases, implant failure 5 case, inadequate internal fixation 4 cases and Initial treatmont were surgical in 11 out of 14 cases.
3. The treatment of nonunion were to incliuded open reduction and Intramedullary nailing for 8 case and open reduction and rigid plate fixation for 2 cases tion 2 case and external fixator
2 case 9 cases were supplemented with autogenous iliac bone graft.
4. Union was obtained in surgical method and bony union was delayed as the number of prior surgical procedures.
5. Postoperative union was average 16.6 months and immobilization was done for average 8 weeks.
limitation of motion of knee joint in 2 cases.
|