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Treatment of distal femoral nonunion with internal fixation, cortical allograft struts, and autogenous bone-grafting

, : Treatment of distal femoral nonunion with internal fixation, cortical allograft struts, and autogenous bone-grafting. Journal of Bone and Joint Surgery. American Volume 85-A(3): 436-440

The purpose of this retrospective study was to analyze the results of treatment of nonunions of the distal part of the femur with internal fixation combined with cortical allograft struts and autogenous bone-grafting. Thirteen patients with a distal femoral nonunion were treated with open reduction and internal fixation combined with deep-frozen cortical allograft struts and autogenous iliac bone grafts. The level of nonunion was infra-isthmal in three patients and supracondylar in ten. Ten nonunions were fixed with a blade-plate or condylar buttress plate; two, with an antegrade locked nail; and one, with an antegrade locked nail and a compression plate. Seven unicortical, five bicortical, and one tricortical allograft struts, with an average length of 10 cm, were used. Autogenous iliac bone grafts were inserted into the nonunion site and between the allograft and host femur. The average time from the surgery to the latest follow-up examination was thirty-four months (range, twelve to seventy months). All nonunions united, at an average of five months. The average arc of knee motion improved from 45 degrees preoperatively to 73 degrees postoperatively. According to The Hospital for Special Surgery knee rating system, the average knee score improved from 20 points preoperatively to 71 points at the latest follow-up examination. Three patients had hardware removed after healing of the nonunion, and one patient underwent quadricepsplasty for knee contracture. There were no postoperative infections. Two patients had shortening of the limb of >2 cm. Open reduction and internal fixation supplemented with allograft struts and autogenous bone graft is an effective treatment for nonunion of the distal part of the femur. Therapeutic study, Level IV (case series [no, or historical, control group]). See Instructions to Authors for a complete description of levels of evidence.


PMID: 12637428

Other references

Tarasenko, A.T., 1980: Carbon dioxide distribution in the body after the peroral administration of carbonated water ( an experimental study). Voprosy Kurortologii, Fizioterapii, i Lechebnoi Fizicheskoi Kultury: 62-64

Russo, G.; Ravenna, S.Emanuele.; De Vita, A.; Aurigemma, C.; Lamendola, P.; Lanza, G.Antonio.; Crea, F., 2017: Exercise test predictors of severe coronary artery disease: Role of ST-segment elevation in lead aVR. The role of exercise stress test (EST)-induced ST-segment elevation (STE) in electrocardiographic lead aVR in predicting severe coronary artery disease (CAD) is controversial. Assessment of lead aVR during EST can be helpful to identify patients w...

Karásek, J.; Svejda, J., 1965: The ultrastructure of sarcomatoid variant form of the BS tumour. Neoplasma 12(4): 399-407

Dunlop D.J.; Hale C.J.; Bailey M.E., 1977: Two characteristic magnetic mineral assemblages in oceanic layer-2 rocks. Eos, Transactions, American Geophysical Union 58(6): 379

Karatzas, T.; Olson, L.; Ciancio, G.; Burke, G.W.; Spires, G.; Cravero, L.; Taukus, R.; Cravero, J.; Buss-Henry, S.; Waters, J.D.; Lykaki-Karatzas, E.; Demirbas, A.; Tsaroucha, A.; Miller, J.; Tzakis, A.G., 1997: Expanded liver donor age over 60 years for hepatic transplantation. Transplantation Proceedings 29(7): 2830-2831

Dannhauer, K.H.; Sergl, H.G.; Gründer, W., 1992: The demonstration of cellular reactions in the temporomandibular condylar cartilage by NMR microscopy. The basic research for high-resolution NMR tomography of the temporomandibular joint. The regional resolution of modern imaging methods is not good enough to clinically objectify changes to the cartilage of the temporomandibular joint, for example in functional orthodontic treatment. NMR microscopic studies of an intact temporomand...

Ueda K.; Yoshizawa Y., 1971: Critical period of malformation of digits in mouse fetus caused by gamma ray irradiation during pregnancy. Nippon Acta Radiol 31(8): 964-970

Hamill, T.A.; Haas, W.H., 1986: The relationship of pulsed, continuous, and warble extended-high frequency thresholds. The relationship among pulsed, continuous and warble tone 10, 12, 14, and 16 kHz thresholds of six normal hearing young adults was studied. It was found that pulsed and continuous tones elicited essentially equivalent thresholds at all frequencies...

Zhong, G.; Peterson, D.D.laney, D.; Bailey, M.W.tcher, D.; Register, J.I.i; Bond, D.L., C.; Marshall, L.K.lisek, E., 1999: Commercial production of aprotinin in transgenic maize seeds. The development of genetic transformation technology for plants has stimulated an interest in using transgenic plants as a novel manufacturing system for producing different classes of proteins of industrial and pharmaceutical value. In this regar...

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