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131. Kongress der Deutschen Gesellschaft für Chirurgie

Deutsche Gesellschaft für Chirurgie

25.03. - 28.03.2014, Berlin

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Assessing the therapeutic efficacy of augmentative plate fixation in femur bone nonunion subsequent to intramedullary nailing

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  • Y. Hashemi Aghdam - Young Researchers and elite club, Tabriz Branch, Islamic Azad University, Tabriz
  • A. Moradi - Dept. of orth. surg., Shohada Trauma center, Fac. of Medicine, Tabriz University of Medical Sciences, Tabriz
  • M. Beheshti - Medical faculty, Islamic Azad University, Tabriz Branch
  • S. Rahimi - Medical faculty, Islamic Azad University, Tabriz Branch
  • M. Pour-Aghaei - Dept. of Emergency Med, Imam Reza Hosp., Tabriz Univ. of Med. Sciences, Tabriz

Deutsche Gesellschaft für Chirurgie. 131. Kongress der Deutschen Gesellschaft für Chirurgie. Berlin, 25.-28.03.2014. Düsseldorf: German Medical Science GMS Publishing House; 2014. Doc14dgch270

doi: 10.3205/14dgch270, urn:nbn:de:0183-14dgch2702

Published: March 21, 2014

© 2014 Hashemi Aghdam et al.
This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by-nc-nd/3.0/deed.en). You are free: to Share – to copy, distribute and transmit the work, provided the original author and source are credited.

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Introduction: Femur is the tallest and one of the firmest bones of the body that is damaged in high energy traumas. Gold standard method for treatment of sub-trochanteric and shaft fractures of femur is interlocking Intra Medullary nailing Rod (IMR). New method for reinforcement of stability of these fractures is augmentative plate fixation in addition to IMR. In this study, we aimed to evaluate the results of treatment with this new method in femur bone nonunion.

Material and methods: In a case series study, we studied 28 females and 17 males with age distribution of 19-76 years of old referring to Shohada Hospital of Tabriz that were treated by IMR due to femur fracture and were diagnosed as nonunion fracture. Statistical analysis was performed by SPSS software package version 16.0 for windows. P value less than 0.05 was statistically considered significant in this study.

Results: There were union signs in 41 patients (91.1%) in radiologic findings after 6 months follow up, who were referred with femur fracture non-union that were treated by IMR previously and went under augmentative plate fixation in addition to IMR Non-union was more prevalent in females, patients with previous history of disease, smokers and patients with oligotrophic type of non-union.

Conclusion: Augmentative plate fixation can be used as appropriate treatment method in femur fractures non-union in patients treated by interlocking intramedullary nailing rod to avoid instability and rotation. It is advised due to short recovery time, faster weight bearing and no need for special instruments.