Resistant distal femoral nonunion treated with combined nail/plate construct and reamer-irrigator-aspirator technique
Objective This study was performed to evaluate the effectiveness of intramedullary nailing and a lateral locking plate combined with the reamer-irrigator-aspirator (RIA) bone grafting technique for resistant distal femoral nonunion. Methods This retrospective observational study was performed from J...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
SAGE Publishing
2023-07-01
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| Series: | Journal of International Medical Research |
| Online Access: | https://doi.org/10.1177/03000605231187945 |
| _version_ | 1797771046347079680 |
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| author | Jin-Hui Zhang Hui Liu Tao-Yi Cai Yong-Zhi Lin Jin Wu |
| author_facet | Jin-Hui Zhang Hui Liu Tao-Yi Cai Yong-Zhi Lin Jin Wu |
| author_sort | Jin-Hui Zhang |
| collection | DOAJ |
| description | Objective This study was performed to evaluate the effectiveness of intramedullary nailing and a lateral locking plate combined with the reamer-irrigator-aspirator (RIA) bone grafting technique for resistant distal femoral nonunion. Methods This retrospective observational study was performed from January 2018 to December 2021 and involved five patients who presented with resistant distal femoral nonunion despite undergoing several surgeries. They were treated with intramedullary nailing and a lateral locking plate combined with the RIA bone grafting technique. Postoperative follow-up was performed to observe the healing time, and functional outcomes were evaluated using the Lower Extremity Functional Scale (LEFS). Results After the patients had been monitored for a mean of 17.9 months, complete bone healing was observed in every patient (mean healing time of 4.8 months). Postoperative wound failure in an older patient was successfully treated with resuturing and nutritional assistance. At the last follow-up, the mean LEFS score was 71.2/80 and the mean knee flexion was 109 degrees. Conclusions Our study demonstrates that combining intramedullary nailing and a lateral locking plate with the RIA bone grafting technique enhances biological properties, provides good structural support, and achieves good union and functional results in the management of resistant nonunion of the distal femur. |
| first_indexed | 2024-03-12T21:31:49Z |
| format | Article |
| id | doaj.art-be744f5de9404859a8ddf453256d06ae |
| institution | Directory Open Access Journal |
| issn | 1473-2300 |
| language | English |
| last_indexed | 2024-03-12T21:31:49Z |
| publishDate | 2023-07-01 |
| publisher | SAGE Publishing |
| record_format | Article |
| series | Journal of International Medical Research |
| spelling | doaj.art-be744f5de9404859a8ddf453256d06ae2023-07-27T18:33:40ZengSAGE PublishingJournal of International Medical Research1473-23002023-07-015110.1177/03000605231187945Resistant distal femoral nonunion treated with combined nail/plate construct and reamer-irrigator-aspirator techniqueJin-Hui ZhangHui LiuTao-Yi CaiYong-Zhi LinJin WuObjective This study was performed to evaluate the effectiveness of intramedullary nailing and a lateral locking plate combined with the reamer-irrigator-aspirator (RIA) bone grafting technique for resistant distal femoral nonunion. Methods This retrospective observational study was performed from January 2018 to December 2021 and involved five patients who presented with resistant distal femoral nonunion despite undergoing several surgeries. They were treated with intramedullary nailing and a lateral locking plate combined with the RIA bone grafting technique. Postoperative follow-up was performed to observe the healing time, and functional outcomes were evaluated using the Lower Extremity Functional Scale (LEFS). Results After the patients had been monitored for a mean of 17.9 months, complete bone healing was observed in every patient (mean healing time of 4.8 months). Postoperative wound failure in an older patient was successfully treated with resuturing and nutritional assistance. At the last follow-up, the mean LEFS score was 71.2/80 and the mean knee flexion was 109 degrees. Conclusions Our study demonstrates that combining intramedullary nailing and a lateral locking plate with the RIA bone grafting technique enhances biological properties, provides good structural support, and achieves good union and functional results in the management of resistant nonunion of the distal femur.https://doi.org/10.1177/03000605231187945 |
| spellingShingle | Jin-Hui Zhang Hui Liu Tao-Yi Cai Yong-Zhi Lin Jin Wu Resistant distal femoral nonunion treated with combined nail/plate construct and reamer-irrigator-aspirator technique Journal of International Medical Research |
| title | Resistant distal femoral nonunion treated with combined nail/plate construct and reamer-irrigator-aspirator technique |
| title_full | Resistant distal femoral nonunion treated with combined nail/plate construct and reamer-irrigator-aspirator technique |
| title_fullStr | Resistant distal femoral nonunion treated with combined nail/plate construct and reamer-irrigator-aspirator technique |
| title_full_unstemmed | Resistant distal femoral nonunion treated with combined nail/plate construct and reamer-irrigator-aspirator technique |
| title_short | Resistant distal femoral nonunion treated with combined nail/plate construct and reamer-irrigator-aspirator technique |
| title_sort | resistant distal femoral nonunion treated with combined nail plate construct and reamer irrigator aspirator technique |
| url | https://doi.org/10.1177/03000605231187945 |
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