Implant Breakage, Pseudoarthrosis of Bone
Conditions
Keywords
hypertrophic pseudarthrosis, dynamization, corticalisation
Brief summary
In 12 patients with corticalization and hypertrophic pseudarthrosis were present after dynamization, the old nail was removed and nail exchange was performed with a longer and larger diameter nail to pass the region formed in the cortex approximately 2-3cm inferior from the old nail.
Detailed description
Corticalization is cortex-like sclerosis in the distal of the nail and it may indicate the early sign of dynamization treatment failure in hypertrophic nonunion after femoral transverse diaphyseal fractures. When corticalization is seen during follow-up after dynamization is performed because of non-union of a femoral transverse fracture, nail exchange should be performed without further delay. More rigid fixation should be applied with a longer and thicker nail crossing the area of corticalization.
Interventions
PROCEDUREexchange nailing with larger, thicker nail crossing corticalization
exchange nailing with larger, thicker nail crossing corticalization
Sponsors
Prof. Dr. Cemil Tascıoglu Education and Research Hospital Organization
Study design
Allocation
NA
Intervention model
SINGLE_GROUP
Primary purpose
TREATMENT
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
28 Years to 49 Years
Healthy volunteers
Yes
Inclusion criteria
* Subtrochanteric fractures * Nonunion with Pain
Exclusion criteria
* Infection * Pathological Fracture (Tumor)
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Provide Bone Union | 6 months | Achievement of bone union with detecting callus formation on radiography after passing the region of corticalisation with a longer and thicker nail |
| Relieving pain in the nonunion area | 6 weeks | Detection of reduction of pain scores in the nonunion area and enabling patients to load on the extremity in the early period postoperatively |
Outcome results
None listed