Open AccessPrimary nonunion of intertrochanteric fractures of femur: An analysis of results of valgization and bone grafting
Author(s) -
Ish Kumar Dhammi,
Jain Ak,
A. P. Singh,
Rehan-Ul-Haq,
Puneet Mishra,
Sandhya Jain
Publication year - 2011
Publication title -
indian journal of orthopaedics
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.434
H-Index - 33
eISSN - 1998-3727
pISSN - 0019-5413
DOI - 10.4103/0019-5413.87122
Subject(s) - medicine , nonunion , surgery , bone grafting , femur , pseudarthrosis , bone healing , internal fixation
Nonunion of intertrochanteric fractures is uncommon because there is excellent blood supply and good cancellous bone in the intertrochanteric region of the femur. A diagnosis of primary intertrochanteric nonunion is made when at least 15 weeks after the fracture there is radiological evidence of a fracture line, with either no callus (atrophic) or with callus that does not bridge the fracture site (hypertrophic). There is only one published series that exclusively describes seven primary nonunions of intertrochanteric fractures. The aim of the present study was to analyze the results of internal fixation, valgization with 135° dynamic hip screw (DHS), and bone grafting in patients with primary nonunion of intertrochanteric fractures.