Nonunion Distal Do Fêmur »

The definitive treatment modalities for distal femoral nonunions were then analyzed according to union rate, time to union and complications. The purpose of this review was to determine the risk factors that predispose to nonunion of the distal femur and the most effective treatment methods to implement after nonunion has occurred. She then presented 2 years out from the initial injury with hardware failure and a nonunion of the left distal femur Fig. 11.7. The patient was unable to give details of the injury as to whether or not it was an open fracture. The patient is morbidly obese. She has diabetes, hypertension and a. Exchange nailing for distal femur nonunion has been shown to have significantly lower success rates compared to the above listed techniques. Koval et al. reported only 4 of 16 femoral nonunions were successfully treated with exchange nailing. 28 Exchange nailing is more effective for diaphyseal/isthmus fractures than nonisthmal fractures. 29.

Delayed union and nonunion of tibial and femoral shaft fractures are common orthopedic problems. Numerous publications address lower extremity long bone nonunions. This review presents current trends and recent literature on the evaluation and treatment of nonunions of the tibia and femur. New studies focused on tibial nonunion and femoral. In this study, our goal was to identify patient comorbidities, injury and construct characteristics that are independent predictors of nonunion risk in LLP of distal femur fractures; and to develop a predictive algorithm of nonunion risk, irrespective of institutional criteria for clinical intervention variability. 15/06/2013 · Surgical factors contributing to nonunion in femoral shaft fracture following intramedullary nailing. To explore the possible surgical factors related with nonunion in femoral shaft fracture following intramedullary nailing. Interestingly, all the fractures of the 5 cases were at the distal femur.

Nonunion is a highly morbid complication that exacerbates the pain, disability and financial burden of distal and diaphyseal femur fractures. This study examined the modern rates of healing, nonunion, and other complications requiring reoperation of different fixation methods for distal and diaphyseal femur. Methods We treated 57 patients with nonunion or malunion of distal femur at the Orthopaedics and Traumatology Department of a single orthopaedic trauma centre Italy. Other factors such as gender and age do influence the rate of revision ACL surgery. Study design: Level IV,. 05/03/2015 · There was a nonunion of the distal femur, with the most medial fracture fragment extending 13 cm from the joint line. HPI: This is a very pleasant female who had undergone ORIF of her right distal tibia fracture on 07/21/2014. She did well after surgery until approximately 7 months postoperatively, when she had increasing pain. Hi folks,I noticed many of you had questions, stories, etc. about femurs not healing fast enough. My tramua surgeon said my non-union has been the most resistant he's ever seen.What happened:Head-on collision with a transport truck, at highway speeds. Multiple injuries, but the worst was a open distal femur.

Figure 2: Anteroposterior radiograph of the proximal femur a and lateral b and anteroposterior c radiographs of the distal femur showing femur fracture without evidence of healing in a 30-year-old man with continued pain with weight bearing 7 months after his leg was crushed by a forklift.

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