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European Journal of Trauma and Emergency Surgery

Published in:

16-04-2021 | Original Article

Results of revision intramedullary nailing with and without auxillary plate in aseptic trochanteric and subtrochanteric nonunion

Authors: Christina Dietze, Andreas Brand, Jan Friederichs, Fabian Stuby, Dorien Schneidmueller, Christian von Rüden

Published in: European Journal of Trauma and Emergency Surgery | Issue 3/2022

Abstract

Purpose

Aim of this study was to investigate whether limited open auxiliary angle stable plate fixation has an effect on functional and radiologic outcomes one year after revision intramedullary nailing in aseptic trochanteric and subtrochanteric fracture nonunion.

Methods

In a retrospective analysis, surgically revised aseptic trochanteric and subtrochanteric nonunion was evaluated in a total of 190 consecutive patients ranging from 18 to 94 years between 12/2005 and 10/2018.

Results

One year after revision intramedullary nailing, nonunion healing was assessed in 129 out of 136 patients (95%) in group 1 without auxiliary plate fixation and in 51 out of 54 patients (94%) in group 2 with auxiliary plating (p = 0.23). In group 1, range of motion (ROM) was unrestricted in 88 patients and still restricted in 48 patients. In group 2, ROM was free in 34 patients and restricted in 20 patients (p = 0.25). The mean Lower Extremity Functional Scale (LEFS) was 56 points in group 1 and 55 points in group 2 (p = 0.55).

Conclusion

This study did not demonstrate significant differences in functional and radiologic outcomes following revision intramedullary nailing of aseptic trochanteric and subtrochanteric fracture nonunion. Limited open auxiliary plate fixation might be a reasonable option especially in cases of relevant varus axis deviation and comminuted or atypical fracture configurations, regardless of patients’ age.

Retrospectively registered with the German Clinical Trials Register (01/25/2021; ID: DRKS00024112).

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Title: Results of revision intramedullary nailing with and without auxillary plate in aseptic trochanteric and subtrochanteric nonunion
Authors: Christina Dietze
Andreas Brand
Jan Friederichs
Fabian Stuby
Dorien Schneidmueller
Christian von Rüden
Publication date: 16-04-2021
Publisher: Springer Berlin Heidelberg
Published in: European Journal of Trauma and Emergency Surgery / Issue 3/2022
Print ISSN: 1863-9933
Electronic ISSN: 1863-9941
DOI: https://doi.org/10.1007/s00068-021-01664-6

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

Results of revision intramedullary nailing with and without auxillary plate in aseptic trochanteric and subtrochanteric nonunion

Abstract

Purpose

Methods

Results

Conclusion

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

Abstract

Purpose

Methods

Results

Conclusion

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