femoral shaft nonunion after intramedullary nailing
Conditions
Interventions
Experimental group:anterior augmentation plate
control group:lateral augmentation plate
Sponsors
General Hospital of PLA
Eligibility
Sex/Gender
All
Age
18 Years to 80 Years
Inclusion criteria
Inclusion criteria: 1. The definition of the nonunion is that: patients whose fracture did not heal for at least 9 months since the fixation of the fracture and whose continuous imaging observations in the recent 3 months did not show any progress in fracture healing; 2. According to OTA classification, the definition of the femoral shaft is that: the transverse lower edge of the lesser trochanter to the upper border of the transepicondylar width of the knee; 3. aseptic nonunion:negative inflammatory markers and physical examination preoperatively and negative bacterial culture postoperatively; 4. the pattern of the previous fixation is intramedullary nailing,which did not fail; 5. aged older than 18.
Exclusion criteria
Exclusion criteria: 1. septic nonunion; 2. bone defect>6 cm; 3. significant malformation which was defined as angulation >5°,malrotation > 15° LLD (limb length discrepancy) > 2 cm; 4. non-compliant patient; 5. refuse to participate in the study.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Fracture healing time;rate of fracture healing;SF-36 score; | — |
Secondary
| Measure | Time frame |
|---|---|
| operation time;length of incision;blood loss;knee range of motion; | — |
Countries
China
Contacts
Public ContactHua Chen
Orthopedics department, General Hospital of PLA
Outcome results
None listed