Long Bone Union Accurately Predicted by Cortical Bridging within 4 Months
Author(s) -
Frank DiSilvio,
Sarah Foyil,
Brett Schiffman,
Mitchell Bernstein,
Hobie Summers,
William D. Lack
Publication year - 2018
Publication title -
jbjs open access
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.786
H-Index - 3
ISSN - 2472-7245
DOI - 10.2106/jbjs.oa.18.00012
Subject(s) - nonunion , intramedullary rod , medicine , bridging (networking) , femur , surgery , tibia , delayed union , long bone , femoral shaft , bone healing , bony union , computer science , computer network , internal fixation
The presence of any bridging callus within 4 months accurately predicts the final healing outcome for tibial and femoral shaft fractures treated with intramedullary nailing. This criterion is simple and reliable, and only standard radiographs are needed to make the determination. Basing the prognosis on the bridging of additional cortices risks overestimation of the nonunion rate and is associated with relatively poor reliability.
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