Clinical outcomes of femoral shaft non-union: dual plating versus exchange nailing with augmentation plating
Abstract Background By comparing clinical outcomes between dual plating (DP) and exchange nailing with augmentation plating (EN/AP), we aimed to provide better treatment strategies for femoral shaft non-union. Methods We retrospectively reviewed 30 patients with aseptic femoral shaft non-union at ou...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
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BMC
2018-11-01
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| Series: | Journal of Orthopaedic Surgery and Research |
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| Online Access: | http://link.springer.com/article/10.1186/s13018-018-1002-z |
| _version_ | 1811298567186284544 |
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| author | Wei Zhang Zhuo Zhang Jiantao Li Licheng Zhang Hua Chen Peifu Tang |
| author_facet | Wei Zhang Zhuo Zhang Jiantao Li Licheng Zhang Hua Chen Peifu Tang |
| author_sort | Wei Zhang |
| collection | DOAJ |
| description | Abstract Background By comparing clinical outcomes between dual plating (DP) and exchange nailing with augmentation plating (EN/AP), we aimed to provide better treatment strategies for femoral shaft non-union. Methods We retrospectively reviewed 30 patients with aseptic femoral shaft non-union at our level 1 trauma center between January 2014 and January 2017. All patients underwent a one-stage, definitive revision procedure, including DP for 16 patients and EN/AP for 14 patients. Perioperative surgical trauma, fracture healing, complications, and the time to return to work were evaluated. Results Twenty-nine patients achieved fracture healing. In the EN/AP group, the fracture healing rate was 100%, the healing time was 5.7 ± 1.7 months, and the time of return to work was 8.2 ± 2.9 months. In the DP group, the fracture healing rate was 94%, the healing time was 8.4 ± 4.1 months, and the time of return to work was 18.4 ± 10.3 months. In terms of fracture healing and return to work, the patients in the EN/AP group required less time than those in the DP group, and the differences were statistically significant (p = 0.024 and p < 0.01 respectively). Except for the length of the incision, the two groups showed no statistically significant differences in operative time, postoperative deformity, and complications. Conclusions Both EN/AP and DP are important surgical options for femoral shaft non-union. Compared to DP, EN/AP resulted in a shorter incision, faster fracture healing, and a shorter time to return to work. Trial registration ChiCTR-ORC-17014062 |
| first_indexed | 2024-04-13T06:21:15Z |
| format | Article |
| id | doaj.art-c381c9f21fd8408da61dafa4975d73ea |
| institution | Directory Open Access Journal |
| issn | 1749-799X |
| language | English |
| last_indexed | 2024-04-13T06:21:15Z |
| publishDate | 2018-11-01 |
| publisher | BMC |
| record_format | Article |
| series | Journal of Orthopaedic Surgery and Research |
| spelling | doaj.art-c381c9f21fd8408da61dafa4975d73ea2022-12-22T02:58:38ZengBMCJournal of Orthopaedic Surgery and Research1749-799X2018-11-011311710.1186/s13018-018-1002-zClinical outcomes of femoral shaft non-union: dual plating versus exchange nailing with augmentation platingWei Zhang0Zhuo Zhang1Jiantao Li2Licheng Zhang3Hua Chen4Peifu Tang5Department of Orthopedic Surgery, General Hospital of Chinese People’s Liberation ArmyDepartment of Orthopedic Surgery, General Hospital of Chinese People’s Liberation ArmyDepartment of Orthopedic Surgery, General Hospital of Chinese People’s Liberation ArmyDepartment of Orthopedic Surgery, General Hospital of Chinese People’s Liberation ArmyDepartment of Orthopedic Surgery, General Hospital of Chinese People’s Liberation ArmyDepartment of Orthopedic Surgery, General Hospital of Chinese People’s Liberation ArmyAbstract Background By comparing clinical outcomes between dual plating (DP) and exchange nailing with augmentation plating (EN/AP), we aimed to provide better treatment strategies for femoral shaft non-union. Methods We retrospectively reviewed 30 patients with aseptic femoral shaft non-union at our level 1 trauma center between January 2014 and January 2017. All patients underwent a one-stage, definitive revision procedure, including DP for 16 patients and EN/AP for 14 patients. Perioperative surgical trauma, fracture healing, complications, and the time to return to work were evaluated. Results Twenty-nine patients achieved fracture healing. In the EN/AP group, the fracture healing rate was 100%, the healing time was 5.7 ± 1.7 months, and the time of return to work was 8.2 ± 2.9 months. In the DP group, the fracture healing rate was 94%, the healing time was 8.4 ± 4.1 months, and the time of return to work was 18.4 ± 10.3 months. In terms of fracture healing and return to work, the patients in the EN/AP group required less time than those in the DP group, and the differences were statistically significant (p = 0.024 and p < 0.01 respectively). Except for the length of the incision, the two groups showed no statistically significant differences in operative time, postoperative deformity, and complications. Conclusions Both EN/AP and DP are important surgical options for femoral shaft non-union. Compared to DP, EN/AP resulted in a shorter incision, faster fracture healing, and a shorter time to return to work. Trial registration ChiCTR-ORC-17014062http://link.springer.com/article/10.1186/s13018-018-1002-zFemoral non-unionExchange nailingAugmentation platingDual plating |
| spellingShingle | Wei Zhang Zhuo Zhang Jiantao Li Licheng Zhang Hua Chen Peifu Tang Clinical outcomes of femoral shaft non-union: dual plating versus exchange nailing with augmentation plating Journal of Orthopaedic Surgery and Research Femoral non-union Exchange nailing Augmentation plating Dual plating |
| title | Clinical outcomes of femoral shaft non-union: dual plating versus exchange nailing with augmentation plating |
| title_full | Clinical outcomes of femoral shaft non-union: dual plating versus exchange nailing with augmentation plating |
| title_fullStr | Clinical outcomes of femoral shaft non-union: dual plating versus exchange nailing with augmentation plating |
| title_full_unstemmed | Clinical outcomes of femoral shaft non-union: dual plating versus exchange nailing with augmentation plating |
| title_short | Clinical outcomes of femoral shaft non-union: dual plating versus exchange nailing with augmentation plating |
| title_sort | clinical outcomes of femoral shaft non union dual plating versus exchange nailing with augmentation plating |
| topic | Femoral non-union Exchange nailing Augmentation plating Dual plating |
| url | http://link.springer.com/article/10.1186/s13018-018-1002-z |
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