Exchange of reamed intramedullary nailing for aseptic femoral shaft nonunion
- VernacularTitle:扩髓换钉治疗股骨干无菌性骨不连
- Author:
Zhendong LIU
;
- Publication Type:Journal Article
- Keywords:
Femur;
Nonunion;
Intramedullary nailing
- From:
Chinese Journal of Orthopaedic Trauma
2004;0(05):-
- CountryChina
- Language:Chinese
-
Abstract:
Medical literature was searched for articles concerning “femoral nonunion”and “exchange nailing”on Medline to evaluate the successful rate of the primary operation. Because of wide use of locking intramedullary nailing in recent years, the successful rate of the primary operation with exchange of ream ed intramedullary nailing for aseptic femoral shaft nonunion tends to decrease s ignificantly. Only reaming and exchange for nailing of a larger diameter can not completely resolve the problem of instability, and excessive reaming may result in new instability. The effective length of nail-bone contact should be emphas ized.