Augmentation Plate Fixation for Treating Subtrochanteric Fracture Nonunion
Yu Cheng Lo1, Yu Ping Su2, Cheng Pu Hsieh1
1Department of Orthopaedics Surgery, Changhua Christian Hospital, Changhua, Taiwan.
Indian Journal of Orthopaedics
|April 11, 2019
Summary
Treating subtrochanteric fracture nonunion is challenging. Combining intramedullary devices with augmentation plate fixation offers a reliable solution with a low complication rate.
Area of Science:
- Orthopedic Surgery
- Traumatology
- Bone Healing
Background:
- Subtrochanteric fracture nonunion presents significant treatment challenges.
- Existing revision methods, while acceptable, can lead to complications requiring further procedures.
- Augmentation plate fixation with intramedullary devices is established for diaphyseal nonunion but not previously reported for subtrochanteric nonunion.
Purpose of the Study:
- To evaluate the efficacy of combining intramedullary devices with augmentation plate fixation for subtrochanteric fracture nonunion.
- To assess the outcomes and complication rates of this combined approach.
Main Methods:
- Retrospective review of 21 cases of subtrochanteric fracture nonunion.
- Treatment involved intramedullary device combined with augmentation side plating and bone grafting.
- Patients were followed for an average of 18 months.
Main Results:
- All 21 fractures achieved union without major complications.
- The average time to fracture union was 7.1 months.
Conclusions:
- Intramedullary device with augmentation plate fixation is a reliable and effective procedure for subtrochanteric fracture nonunion.
- This method yields satisfactory results with a low rate of complications.
- It represents a decisive approach for managing challenging subtrochanteric nonunions.
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