Delayed Unions or Nonunions of the Distal Femur: A Comprehensive Overview

➢ The failure rate of treatment of nonunions of the distal femur with internal fixation and autologous bone grafting remains high at 20% to 30%.➢ Successful treatment of nonunions of the distal femur requires good mechanical stability combined with autologous bone graft. This may require dual-plate...

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Bibliographic Details
Published in:Journal of bone and joint surgery. American volume 2024-11, Vol.106 (21), p.2028-2040
Main Authors: Rodriguez-Baron, Elsa B, Gawad, Hosaam, Attum, Basem, Obremskey, William T
Format: Article
Language:English
Subjects:
Bone Plates
Bone Transplantation - methods
Femoral Fractures - surgery
Fracture Fixation, Internal - methods
Fracture Healing - physiology
Fractures, Ununited - surgery
Humans
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Summary:➢ The failure rate of treatment of nonunions of the distal femur with internal fixation and autologous bone grafting remains high at 20% to 30%.➢ Successful treatment of nonunions of the distal femur requires good mechanical stability combined with autologous bone graft. This may require dual-plate fixation or intramedullary nail-plate combinations.➢ Autologous bone graft remains the bone graft of choice. Bone-graft substitutes and biologics require further research.
ISSN:0021-9355
1535-1386
1535-1386
DOI:10.2106/JBJS.23.00985