Cortical bridging a union predictor: A prospective study after intramedullary nailing of the femoral shaft fractures
Early prediction of the union helps for timely intervention, reduction of hospitalization, treatment costs, and disability in cases of nonunion. With this in mind, we tried to find how long any cortical bridging predicts the union in femoral shaft fractures. A prospective study of 113 femoral shaft...
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| Format: | Article |
| Language: | English |
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PAGEPress Publications
2022-10-01
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| Series: | European Journal of Translational Myology |
| Subjects: | |
| Online Access: | https://www.pagepressjournals.org/index.php/bam/article/view/10835 |
| _version_ | 1797989648978411520 |
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| author | Arvin Najafi Parmida Shahbazi Salman Azarsina Danoosh Zargar Mohammad Saeed Kahrizi Dorsa Hadavi Reza Minaei-Noshahr |
| author_facet | Arvin Najafi Parmida Shahbazi Salman Azarsina Danoosh Zargar Mohammad Saeed Kahrizi Dorsa Hadavi Reza Minaei-Noshahr |
| author_sort | Arvin Najafi |
| collection | DOAJ |
| description |
Early prediction of the union helps for timely intervention, reduction of hospitalization, treatment costs, and disability in cases of nonunion. With this in mind, we tried to find how long any cortical bridging predicts the union in femoral shaft fractures. A prospective study of 113 femoral shaft fractures treated with reamed, locked intramedullary nailing was performed. Radiographs were taken during months 2 to 4, 6, 9, and one-year follow-up. The cortical bridging (presence and number) was assessed by anterior-posterior and lateral views. The ROC curve provides the prediction of the union. The overall nonunion rate was 10.6% (12 of 113 fractures). Age and diabetes mellitus were statistically significant with nonunion (p value < 0.001). The final analysis demonstrated that any cortical bridging at four months postoperatively was the most accurate and earlier indicator (105 of 113, 92.9% accuracy), while it was 84.9% at six months in bicortical and 80.5% accuracy at nine months in tricortical bridging. Low-cost and simple radiographic imaging presents cortical bridging in any form 4 months after surgery that precisely predicts a union in femoral shaft fractures.
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| first_indexed | 2024-04-11T08:23:39Z |
| format | Article |
| id | doaj.art-9d10584116eb48c6b230b32f960d09ee |
| institution | Directory Open Access Journal |
| issn | 2037-7452 2037-7460 |
| language | English |
| last_indexed | 2024-04-11T08:23:39Z |
| publishDate | 2022-10-01 |
| publisher | PAGEPress Publications |
| record_format | Article |
| series | European Journal of Translational Myology |
| spelling | doaj.art-9d10584116eb48c6b230b32f960d09ee2022-12-22T04:34:51ZengPAGEPress PublicationsEuropean Journal of Translational Myology2037-74522037-74602022-10-0110.4081/ejtm.2022.10835Cortical bridging a union predictor: A prospective study after intramedullary nailing of the femoral shaft fracturesArvin Najafi0Parmida Shahbazi1Salman Azarsina2Danoosh Zargar3Mohammad Saeed Kahrizi4Dorsa Hadavi5Reza Minaei-Noshahr6Department of Orthopedic Surgery, Shahid Madani Hospital, Alborz University of Medical Sciences, KarajDepartment of Orthopedic Surgery, Shahid Madani Hospital, Alborz University of Medical Sciences, KarajDepartment of Orthopedic Surgery, Shahid Madani Hospital, Alborz University of Medical Sciences, KarajDepartment of Orthopedic Surgery, Shahid Madani Hospital, Alborz University of Medical Sciences, KarajDepartment of Orthopedic Surgery, Shahid Madani Hospital, Alborz University of Medical Sciences, KarajDepartment of Orthopedic Surgery, Shahid Madani Hospital, Alborz University of Medical Sciences, KarajBone, Joint and Related Tissues Research Center, Shahid Beheshti University of Medical Sciences, Tehran Early prediction of the union helps for timely intervention, reduction of hospitalization, treatment costs, and disability in cases of nonunion. With this in mind, we tried to find how long any cortical bridging predicts the union in femoral shaft fractures. A prospective study of 113 femoral shaft fractures treated with reamed, locked intramedullary nailing was performed. Radiographs were taken during months 2 to 4, 6, 9, and one-year follow-up. The cortical bridging (presence and number) was assessed by anterior-posterior and lateral views. The ROC curve provides the prediction of the union. The overall nonunion rate was 10.6% (12 of 113 fractures). Age and diabetes mellitus were statistically significant with nonunion (p value < 0.001). The final analysis demonstrated that any cortical bridging at four months postoperatively was the most accurate and earlier indicator (105 of 113, 92.9% accuracy), while it was 84.9% at six months in bicortical and 80.5% accuracy at nine months in tricortical bridging. Low-cost and simple radiographic imaging presents cortical bridging in any form 4 months after surgery that precisely predicts a union in femoral shaft fractures. https://www.pagepressjournals.org/index.php/bam/article/view/10835Femoral fracturesfractures ununitedradiographyfracture fixationintramedullary |
| spellingShingle | Arvin Najafi Parmida Shahbazi Salman Azarsina Danoosh Zargar Mohammad Saeed Kahrizi Dorsa Hadavi Reza Minaei-Noshahr Cortical bridging a union predictor: A prospective study after intramedullary nailing of the femoral shaft fractures European Journal of Translational Myology Femoral fractures fractures ununited radiography fracture fixation intramedullary |
| title | Cortical bridging a union predictor: A prospective study after intramedullary nailing of the femoral shaft fractures |
| title_full | Cortical bridging a union predictor: A prospective study after intramedullary nailing of the femoral shaft fractures |
| title_fullStr | Cortical bridging a union predictor: A prospective study after intramedullary nailing of the femoral shaft fractures |
| title_full_unstemmed | Cortical bridging a union predictor: A prospective study after intramedullary nailing of the femoral shaft fractures |
| title_short | Cortical bridging a union predictor: A prospective study after intramedullary nailing of the femoral shaft fractures |
| title_sort | cortical bridging a union predictor a prospective study after intramedullary nailing of the femoral shaft fractures |
| topic | Femoral fractures fractures ununited radiography fracture fixation intramedullary |
| url | https://www.pagepressjournals.org/index.php/bam/article/view/10835 |
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