ArticleBMC musculoskeletal disorders2018
"Revision of subtrochanteric femoral nonunions after intramedullary nailing with dynamic condylar screw".
Article in BMC musculoskeletal disorders, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers.
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Who cites it
19 citing papers in PubMed, 41 citations in OpenAlex.
- Combined Mechanical and Biological Salvage of Recalcitrant Subtrochanteric Non-union using Valgus Osteotomy, Blade Plate Fixation, and Endomedullary Fibular Graft.Journal of orthopaedic case reports · 2026Article
- Four-Time Failed Subtrochanter Femur Fracture Fixation in Elderly: What's Next - A Case Report.Journal of orthopaedic case reports · 2025Article
- Article
- [Is the 95°blade plate still important in the treatment of proximal femoral pseudarthrosis?]Unfallchirurgie (Heidelberg, Germany) · 2024Article
- Salvage of failed subtrochanteric fracture fixation in the elderly: revision internal fixation or hip arthroplasty?European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2024Article
- The effect of valgus reduction on resistant subtrochanteric femoral non-unions: a single-centre report of twenty six cases.International orthopaedics · 2024Article
- Subtrochanteric nonunion after intramedullary nailing due to pathological fracture: proximal femoral replacement as a salvage approach.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2024Article
- The role of an augmentative plating in the management of femoral subtrochanteric nonunion.Archives of orthopaedic and trauma surgery · 2023Article
- Operative treatment of nonunions in the elderly: Clinical and radiographic outcomes in patients at minimum 75 years of age.BMC geriatrics · 2022Review
- Is the reconstruction of medial support important for revision following failed treatment of femoral trochanteric fractures? a retrospective comparative study.BMC musculoskeletal disorders · 2022Article
- [Subtrochanteric fractures].Der Unfallchirurg · 2022Article
- Poller (blocking) screw with intramedullary femoral nailing for subtrochanteric femoral non-unions: clinical outcome and review of concepts.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2022Article
- Article
- Management of Refractory Aseptic Subtrochanteric Non-union by Dual Plating.Indian journal of orthopaedics · 2021Article
- Strategies for managing the destruction of calcar femorale.BMC musculoskeletal disorders · 2021Review
- Cementless total hip arthroplasty for failed treatment of subtrochanteric fracture.BMC musculoskeletal disorders · 2021Article
- The risk assessment model of fracture nonunion after intramedullary nailing for subtrochanteric femur fracture.Medicine · 2021Article
- Is open bone graft always necessary when treating aseptic subtrochanteric nonunion with a reamed intramedullary nail?BMC musculoskeletal disorders · 2021Article
- Risk factor analysis for delayed union after subtrochanteric femur fracture: quality of reduction and valgization are the key to success.BMC musculoskeletal disorders · 2019Article
Corrections and comments
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Authors and funding
4 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundNonunions of the subtrochanteric region of the femur after previous intramedullary nailing can be difficult to address. Implant failure and bone defects around the implant significantly complicate the therapy, and complex surgical procedures with implant removal, extensive debridement of the nonunion site, bone grafting and reosteosynthesis usually become necessary. The purpose of this study was to evaluate the records of a series of patients with subtrochanteric femoral nonunions who were treated with dynamic condylar screws (DCS) regarding their healing rate, subsequent revision surgeries and implant-related complications.
methodsWe conducted a retrospective chart review of patients with aseptic femoral subtrochanteric nonunions after failed intramedullary nailing. Nonunion treatment consisted of nail removal, debridement of the nonunion, and restoration of the neck shaft angle (CCD), followed by DCS plating. Supplemental bone grafting was performed in all atrophic nonunions. All patients were followed for at least six months after DCS plating.
resultsBetween 2002 and 2017, we identified 40 patients with a mean age of 65.4 years (range 34-91 years) who met the inclusion criteria. At a mean follow-up period of 26.3 months (range 6-173), 37 of the 40 (92.5%) nonunions healed successfully (secondary procedures included). The mean healing time of the 37 patients was 11.63 months (± 12.4 months). A total of 13 of the 40 (32.5%) patients needed a secondary revision surgery; one patient had a persistent nonunion, nine patients had persistent nonunions leading to hardware failure, two patients had deep infections requiring revision surgery, and one patient had a peri-implant fracture due to low-energy trauma four days after the index surgery.
conclusionsThe results indicate that revision surgery of subtrochanteric femoral nonunions after intramedullary nailing with dynamic condylar screws is a reliable treatment option overall. However, secondary revision surgery may be indicated before final healing of the nonunion.
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