ArticleInternational orthopaedics2017
Reamed intramedullary exchange nailing in the operative treatment of aseptic tibial shaft nonunion.
Article in International orthopaedics, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
20 citing papers in PubMed, 42 citations in OpenAlex.
- Long-term outcome following additional rhBMP-7 application in revision surgery of aseptic humeral, femoral, and tibial shaft nonunion.BMC musculoskeletal disorders · 2017Trial
- Interface stability of intramedullary nail locking configurations under combined axial and torsional loading.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2026Article
- Biological Augmentation of Reamed Intramedullary Nailing for Aseptic Tibial Shaft Nonunion: An Exploratory Multicenter Retrospective Comparative Cohort Study.Journal of functional morphology and kinesiology · 2026Article
- Rates of union and risk factors for continued nonunion following exchange nailing of tibial nonunion.Archives of orthopaedic and trauma surgery · 2026Article
- Circulating CD38Scientific reports · 2026Article
- [Non-Unions of the lower extremities].Chirurgie (Heidelberg, Germany) · 2025Review
- Comparative Study of Exchange Nailing and Augmentative Plating for Treating Aseptic Nonunion of Femoral Shafts Post Intramedullary Nailing: A Single-Blind, Multicentric Randomized Clinical Trial.Journal of clinical medicine · 2024Article
- Article
- A novel bone graft technique combined with plating for aseptic recalcitrant long bone nonunion.BMC musculoskeletal disorders · 2022Article
- [Infected nonunion: diagnostic and therapeutic work-up].Unfallchirurgie (Heidelberg, Germany) · 2022Article
- Double plating with autogenous bone grafting as a salvage procedure for recalcitrant humeral shaft nonunion.BMC musculoskeletal disorders · 2020Article
- Reamed Exchange Nailing in Nonunion of Tibial Shaft Fractures: A Review of the Current Evidence.Cureus · 2020Review
- Surgical treatment outcomes of the Ilizarov and internal osteosynthesis methods in posttraumatic pseudarthrosis of the tibia-a retrospective comparative analysis.Journal of orthopaedic surgery and research · 2020Article
- Acute correction and intramedullary nailing of aseptic oligotrophic and atrophic tibial nonunions with deformity.Joint diseases and related surgery · 2020Article
- Minimally Invasive Percutaneous Plate Osteosynthesis (MIPPO) Combined with Onionskin-Like Autologous Bone Grafting: A New Technique for Treatment of Tibial Nonunion.Medical science monitor : international medical journal of experimental and clinical research · 2019Article
- Nonunions of the humerus - Treatment concepts and results of the last five years.Chinese journal of traumatology = Zhonghua chuang shang za zhi · 2019Article
- Exosomes in the Repair of Bone Defects: Next-Generation Therapeutic Tools for the Treatment of Nonunion.BioMed research international · 2019Review
- [Evolution and principles of intramedullary locked nailing].Der Unfallchirurg · 2018Article
- Diaphyseal long bone nonunions - types, aetiology, economics, and treatment recommendations.International orthopaedics · 2018Review
- [Pseudarthroses of the long bones].Der Chirurg; Zeitschrift fur alle Gebiete der operativen Medizen · 2018Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
6 authors at 3 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeThe aim of this study was to evaluate a standardized treatment protocol regarding the rate of secondary bone union, complications, and functional outcome.
methodsThis study was started as a prospective study in a single Level I Trauma Centre between 2003 and 2012. The study group consisted of 188 patients with the diagnosis of an aseptic tibial shaft nonunion. Exchange nailing was performed following a standardized surgical protocol. Long-term follow-up was analyzed for rate of bone healing and functional outcome.
resultsOsseous healing was achieved in 182 out of 188 patients (97 %). In 165 out of 188 patients (88 %), bone healing was observed timely and uneventfully after a single exchange nailing procedure. An open approach was necessary in 32 patients (17 %). Twenty-three patients (12 %) required additional therapy such as extracorporeal shock wave therapy. Post-operative complications were observed in seven patients (4 %). Almost all patients demonstrated osseous healing within 12 months, with the majority of osseous healing occurring within six months. A relevant shortening of the fractured tibia was observed in 20 out of 188 patients (11 %). After a median follow-up of 23 months (range 12-45 months), outcome was evaluated using the assessment system of Friedman/Wyman. In summary, 154 out of 188 patients (82 %) had a good functional long-term result. DISCUSSION: Reamed intramedullary exchange nailing including correction of axis alignment is a safe and effective treatment of aseptic tibial shaft nonunion with a high rate of bone healing and a good radiological and functional long-term outcome.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.