Abstract:
:This study analyzed 14 patients with 17 broken intramedullary nails for the treatment of femoral fractures. Average distance from the fracture site was 7.9 cm in cases in which nail breakage occurred at the junction between the cylindrical and cloverleaf portions and 6.4 cm in cases in which nail breakage occurred at the screw hole. Eleven patients with 14 broken nails were treated with exchange nailing and bone grafting, 2 were treated with plating and bone grafting, and 1 was treated with extracorporeal shock wave therapy. Nonunion or delayed union is the main cause of nail breakage. Exchange nailing with bone grafting is a safe and effective method of treatment for a broken intramedullary nail with nonunion.
journal_name
Orthopedicsjournal_title
Orthopedicsauthors
Chen CE,Weng LH,Ko JY,Wang CJdoi
10.3928/01477447-20080101-07subject
Has Abstractpub_date
2008-01-01 00:00:00pages
78issue
1eissn
0147-7447issn
1938-2367pii
orthopedics.25357journal_volume
31pub_type
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