Nonunion Following Intramedullary Nailing of the Femur
In the group managed without reaming eight (7.5 ) of 107 fractures had a nonunion compared with two (1.7 ) of 121 fractures in the group managed with reaming (p = 0.049). The relative risk of nonunion was 4.5 times greater (95 confidence interval = 1 to 20) with no reaming and insertion of a relatively smaller diameter nail.
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Distraction of Hypertrophic Nonunion of Tibia With
bone-grafting external fixation and intramedullary nailing. 2 3 9 The Ilizarov method has gained many advocates for the treatment of nonunion over the last two decades and especially hypertrophic nonunions of the tibia. 1 4 6 7 10 11 This approach does not require surgical exposure of the nonunion site nor does it utilize bone grafting.
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Treatment of Noninfected Nonunions SpringerLink
Cite this chapter as Tuvo G. Mora R. Galli G.B. (2006) Treatment of Noninfected Nonunions Normotrophic Nonunions. In Mora R. (eds) Nonunion of the Long Bones.
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Predictors of nonunion and reoperation in patients with
Mar 22 2013 · Tibial shaft fractures are the most common long bone fracture and are prone to complications such as nonunion requiring reoperations to promote fracture healing. We aimed to determine the fracture characteristics associated with tibial fracture nonunion and their predictive value on the need for reoperation. We further aimed to evaluate the predictive value of a previously
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Diaphyseal long bone nonunions — types aetiology
The intention of the current article is to review the epidemiology with related socioeconomic costs pathophysiology and treatment options for diaphyseal long bone delayed unions and nonunions. Diaphyseal nonunions in the tibia and in the femur are estimated to occur 4.6–8 after modern intramedullary nailing of closed fractures with an even much higher risk in open fractures.
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Autologous bone graft versus demineralized bone matrix in
Dec 15 2009 · The development of non-unions depends on several factors such as energy-level of trauma type of fracture soft tissue involvement type of applied treatment and various endogenous factors 1–3 .According to literature non-union will occur in approximately 10 of fractures after conservative or operative treatment .The use of iliac crest autologous bone graft (ICABG) is widely
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Long-term results of scaphoid nonunion treated by
Oct 28 2008 · The objective of this article is to report our clinical experience in the treatment of patients with scaphoid nonunion using intercalated bone graft and Herbert s screw and the long-term postoperative results with a minimum of five years of follow-up. We retrospectively reviewed 49 patients treated with carved intercalated bone graft and Herbert s screw fixation from September 1987 to June
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Long-term results of scaphoid nonunion treated by
Oct 28 2008 · The objective of this article is to report our clinical experience in the treatment of patients with scaphoid nonunion using intercalated bone graft and Herbert s screw and the long-term postoperative results with a minimum of five years of follow-up. We retrospectively reviewed 49 patients treated with carved intercalated bone graft and Herbert s screw fixation from September 1987 to June
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Prevention SpringerLink
Gustilo RB Anderson JT (1976) Prevention of infection in the treatment of 1025 open fractures of long bones. J Bone Joint Surg Am 58 453–458 PubMed Google Scholar 14.
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Distraction of Hypertrophic Nonunion of Tibia With
bone-grafting external fixation and intramedullary nailing. 2 3 9 The Ilizarov method has gained many advocates for the treatment of nonunion over the last two decades and especially hypertrophic nonunions of the tibia. 1 4 6 7 10 11 This approach does not require surgical exposure of the nonunion site nor does it utilize bone grafting.
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Tibia shaft fractures costly burden of nonunions BMC
Jan 26 2013 · Although nonunion can occur in any fracture site tibia shaft is the most common among the long bones 19–21 . The extent of the healthcare burden and costs associated with tibia shaft fractures needs to be well understood to enhance the framework of decision making regarding treatment patterns and health insurance coverage and to better
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Infected Tibial Nonunion Assessment of compression
Mar 06 2021 · 1. Introduction. The treatment of infected nonunion of long bones is still a challenge in orthopedic surgery. There is a consensus that radical debridement of the necrotic bone and infected soft tissue with stable external fixation is mandatory for management of such complex problem .. Infected nonunion is considered a multifactorial problem that needs biological and mechanical treatment to
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NonunionWikipedia
Since the process of bone healing is quite variable a nonunion may go on to heal without intervention in a very few cases. In general if a nonunion is still evident at 6 months post injury it will remain unhealed without specific treatment usually orthopedic surgery. A non-union which does go on to heal is called a
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Polymicrobial infections and microbial patterns in
Sep 10 2020 · Nonunions of the long bones of the arms and legs (femur tibia fibula humerus radius and ulna) were included. Patients enrolled in the study had to be 18 years or older at time of revision surgery. Fractures and nonunions. Nonunion was defined by
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Nonunion of the Long BonesDiagnosis and treatment with
In 2 -7 of all bone fractures union is delayed or fails. Nonunions of the bones represent a challenge for orthopedic surgeons and can have a severe psychological impact on these patients. Moreover the social cost of managing these lesions often requiring multiple procedures may be very high
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Polymicrobial infections and microbial patterns in
Sep 10 2020 · Nonunions of the long bones of the arms and legs (femur tibia fibula humerus radius and ulna) were included. Patients enrolled in the study had to be 18 years or older at time of revision surgery. Fractures and nonunions. Nonunion was defined by
Get PriceInfected Tibial Nonunion Assessment of compression
Mar 06 2021 · 1. Introduction. The treatment of infected nonunion of long bones is still a challenge in orthopedic surgery. There is a consensus that radical debridement of the necrotic bone and infected soft tissue with stable external fixation is mandatory for management of such complex problem .. Infected nonunion is considered a multifactorial problem that needs biological and mechanical treatment to
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Pulsed Electromagnetic Field Stimulation of Bone Healing
site of action of PEMF and provide a mechanistic rationale for clinical use. This review highlights key processes in cell responses to PEMF as follows (1) signal transduction through A2A and A3 adenosine cell membrane receptors and (2) dose-response effects on the synthesis of structural and signaling extracellular matrix (ECM) components. Through these actions PEMF can increase the
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Prevention of venous thromboembolism — Italian Ministry of
Original language English Title of host publication Nonunion of the Long Bones Diagnosis and Treatment with Compression-Distraction Techniques Publisher
Get PriceLe fratture diafisarie delle ossa lunghe. Correzione delle
Mar 04 2015 · Le fratture diafisarie delle ossa lunghe. Correzione delle deformità post-traumatiche Le fratture diafisarie delle ossa lunghe. Correzione delle deformità post-traumatiche Mora R. Bertani B. Tuvo G. Pedrotti L. 00 00 00 Long bone deformities as a result of trauma may lead to complications such as chronic pain abnormal functional loading cosmetic abnormality joint
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Nonunion of Distal Radius Fractures Clinical
Nonunion of a distal radius fracture is extremely uncommon. Healing problems in the distal radius seem to be related to unstable situations such as concomitant fracture of the distal radius and ulna and to an inadequate period of immobilization.
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Older Age Does Not Affect Healing Time and Functional
The purpose of this study was to investigate the effect of patient age on clinical and functional outcome following long bone fracture nonunion surgery. Materials and Methods A retrospective analysis of prospectively collected data identified 288 patients (aged 18-91) who were indicated for long bone nonunion surgery.
Get PriceAutologous bone graft versus demineralized bone matrix in
Dec 15 2009 · The development of non-unions depends on several factors such as energy-level of trauma type of fracture soft tissue involvement type of applied treatment and various endogenous factors 1–3 .According to literature non-union will occur in approximately 10 of fractures after conservative or operative treatment .The use of iliac crest autologous bone graft (ICABG) is widely
Get PriceJournal of Applied Research on Medicinal and Aromatic
Diagnosis in Mora R. (Ed.) Nonunion of the Long Bones Diagnosis and Treatment with Compression-Distraction Techniques. Springer Milano pp. 41–46. Web sites. Sometimes references to web sites should appear directly in the text rather than in the bibliography. Refer to the Instructions to authors for Journal of Applied Research on
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The PRECICE magnetic IM compression nail for long bone
DOI 10.1007/s Corpus ID . The PRECICE magnetic IM compression nail for long bone nonunions a preliminary report article Fragomen2019ThePM title= The PRECICE magnetic IM compression nail for long bone nonunions a preliminary report author= Austin T. Fragomen and David S. Wellman and S. R. Rozbruch journal= Archives of
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Nonunion of Distal Radius Fractures Clinical
Nonunion of a distal radius fracture is extremely uncommon. Healing problems in the distal radius seem to be related to unstable situations such as concomitant fracture of the distal radius and ulna and to an inadequate period of immobilization.
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Distraction of Hypertrophic Nonunion of Tibia With
bone-grafting external fixation and intramedullary nailing. 2 3 9 The Ilizarov method has gained many advocates for the treatment of nonunion over the last two decades and especially hypertrophic nonunions of the tibia. 1 4 6 7 10 11 This approach does not require surgical exposure of the nonunion site nor does it utilize bone grafting.
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Treatment of Noninfected Nonunions Parafocal Osteotomy
190 B. Bertani L. Pedrotti S. Gili G.B. Galli R. Mora Paltrinieri developed this technique when attempting to treat a tibial nonunion in a 48-year-old man. This patient was affected by a left tibial nonunion as a consequence of an open fracture sustained 2 years previously during a road accident and had previously been treated with
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Outcomes and complication rates of different bone grafting
Sep 09 2013 · Fracture nonunions of long bones continue to represent a significant clinical challenge and socioeconomic burden associated with high complication rates and the potential for poor long-term outcomes 15 .
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