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J Musculoskelet Trauma : Journal of Musculoskeletal Trauma

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1 "Minkyu Kim"
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Original Article
Analysis of Risk Factors for Nonunion after Intramedullary Nailing of Femoral Shaft Fracture in Adult
Yong Woon Shin, Yerl Bo Sung, Jeong Yoon Choi, Minkyu Kim
J Korean Fract Soc 2011;24(4):313-320.   Published online October 31, 2011
DOI: https://doi.org/10.12671/jkfs.2011.24.4.313
AbstractAbstract PDF
PURPOSE
To evaluate the union time and nonunion rate after intramedullary nailing of femoral shaft fracture in adult, we would like to analysis the operation techniques, comminution, contact surface and displacement.
MATERIALS AND METHODS
We reviewed retrospectively 53 patients undergoing femoral intramedullary nailing at least 2 years postoperatively and analysised the union time and nonunion rate by operation techniques, comminution, contact surface and displacement. Patients were operated by either antegrade or retrograde intramedullary nailing.
RESULTS
There were no differences in nonunion rate, the duration of bony union between antegrade and retrograde intramedullary nail groups. Significant differences were found in the duration of bony union between the Winquist and Hansen type I, II and the type III, IV (p<0.05). There were significant differences in the duration of bony union among simple, comminuted, and segmental fracture groups (p<0.05).
CONCLUSION
The union time is affected by not operation techniques and fracture displacement, but Winquist-Hansen classification and number of fracture fragments in intramedullary nailing of adult femoral shaft fracture.

Citations

Citations to this article as recorded by  
  • Extra-capsular proximal femoral fractures: a cohort comparison of union and complication rates after ballistic versus blunt trauma
    Jordan Cook Serotte, Kevin Chen, Julia Nascimben, Jason Strelzow
    European Journal of Orthopaedic Surgery & Traumatology.2025;[Epub]     CrossRef
  • Factors Affecting Time to Bony Union of Femoral Subtrochanteric Fractures Treated with Intramedullary Devices
    Jung-Yoon Choi, Yerl-Bo Sung, Jin-Hee Yoo, Sung-Jae Chung
    Hip & Pelvis.2014; 26(2): 107.     CrossRef
  • Augmentative Locking Plate Fixation for the Treatment of Femoral Nonunion after Intramedullary Nailing
    Ki-Chul Park, Chul-Woong Kim, Kyu-Tae Hwang, Ye-Soo Park
    Journal of the Korean Fracture Society.2013; 26(4): 268.     CrossRef
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