Open AccessSurgical treatment of the aseptic femoral shaft nonunion
Author(s) -
Saša Milenković,
Milorad Mitković,
Miloš Stanojlović,
Ivan Micić,
Mile Radenković,
Desimir Mladenović,
Predrag Stojiljković
Publication year - 2011
Publication title -
acta chirurgica iugoslavica
Language(s) - English
Resource type - Journals
eISSN - 2406-0887
pISSN - 0354-950X
DOI - 10.2298/aci1104075m
Subject(s) - medicine , nonunion , intramedullary rod , surgery , bone grafting , aseptic processing , osteosynthesis , internal fixation , implant , bone healing , femoral shaft , fixation (population genetics) , external fixation , implant failure , external fixator , population , environmental health
Femoral shaft nonunions is difficult complication and a big challenge for the orthopaedic surgeons. These complications occur after open femoral fractures, comminuted fractures, segmental fractures, the infection, after the inadequate fixed osteosynthesis, the systemic disease, and smokers. The paper presents the results of treatment aseptic femoral shaft nonunion in 18 patients. They were primarily operated by the method of internal compresive plate fixation and external fixation (open fractures). For fixation we used dinamic internal fixator by Mitkovic. All nonunions treated by this method are healed. In patients with atrophic femoral shaft nonunions in addition to fixation was performed and bone grafting. This implant has proved successful in the treatment of femoral shaft nonunion. During the fixation no periostal and intramedullary vascularization damage, which is an important prerequisite for bone healing. Implant enables biological and mechanical conditions for nonunion healing.