- Title
- Proximal femur fracture non-union with or without implant failure: A revision technique with clinical outcomes
- Creator
- Benz, Daniel; Tarrant, Seth M.; Balogh, Zsolt J.
- Relation
- Injury : International Journal of the Care of the Injured Vol. 51, Issue 8, p. 1925-1930
- Publisher Link
- http://dx.doi.org/10.1016/j.injury.2020.05.030
- Publisher
- Elsevier
- Resource Type
- journal article
- Date
- 2020
- Description
- Background: This manuscript presents a revision surgical technique with clinical outcomes for the management of inter and subtrochanteric femur fracture non-union with or without implant failure. Methods: Between January 2010 and January 2019, consecutive patients presenting with inter and subtrochanteric femur fracture non-union and/or implant failure managed with exchange intramedullary nailing, LCP augmentation and biological supplementation were identified. Patient demographics and perioperative data was recorded. Results: 13 patients with 10 intertrochanteric and 3 subtrochanteric femur fractures were identified. Revision was performed for implant failure in 8 (62%) patients and non-union in 5 (38%) patients. Fracture union occurred in all patients at an average of 9 months post revision. Conclusions: Exchange intramedullary nailing, with LCP augmentation and biological supplementation is an effective technique to restore anatomy, maintain function and facilitate immediate weight bearing while providing a fixation construct able to withstand the often extended time periods required to achieve fracture union.
- Subject
- non-union; implant failure; revision surgery; intertrochanteric femur fracture; subtrochanteric femur fracture
- Identifier
- http://hdl.handle.net/1959.13/1462822
- Identifier
- uon:46559
- Identifier
- ISSN:0020-1383
- Language
- eng
- Reviewed
- Hits: 395
- Visitors: 394
- Downloads: 0