ArticleEuropean journal of orthopaedic surgery & traumatology : orthopedie traumatologie2021
Augmented compression in exchange nailing for femoral and tibial non-unions accelerates time to radiographic union.
Article in European journal of orthopaedic surgery & traumatology : orthopedie traumatologie, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.
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Who cites it
3 citing papers in PubMed.
- Fracture nonunion: classification, evaluation and management strategies-a structured approach for higher orthopaedic examinations.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2026Review
- Authors response to Assoc. Prof. Metin Uzun's letter to the editor regarding our study: 'Augmented compression in exchange nailing for femoral and tibia non-unions accelerates time to radiographic union'.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2022Article
- Orthopaedic education: a COVID-driven evolution.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2021Article
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4 authors.
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No grant is acknowledged in the PubMed record.
Abstract
purposeExchange nailing is widely used for the management of aseptic femoral and tibial non-union. Compressive forces markedly reduce strain, increasing rate and incidence of union. Additional compressive forces can be applied to the non-union site by using the design features of some modern nailing systems. This study hypothesises that the use of additional compression in exchange nailing results in faster time to union.
methodsAll femoral and tibial shaft non-unions were identified over a 4-year period between 2014-2018. Intraoperative compression during exchange nailing was either applied or not applied with a dedicated active compression device through the intramedullary nail. An initial 'radiographic union score for tibia' (RUST) score was calculated from preoperative lateral and AP radiographs and compared with the postoperative radiographs at 6-8 weeks. Healing was defined as bridging callus on at least three cortices (RUST > 10).
resultsA total of 119 patients were identified. Following application of exclusion criteria, we analysed data for 19 patients, 10 undergoing exchange nailing with intraoperative compression and 9 without. The pre-exchange RUST score was comparable between the compressed group and standard exchange group with mean of 7.11 versus 7.5 (p = 0.636). At 6-8 weeks post-op, there was a significant difference between the median RUST score in the compressed group vs standard exchange group, 11 compared to 8.39 (p = 0.001).
conclusionsOur study shows that time to union was accelerated when additional compression was applied to exchange nailing, resulting in reduced follow-up visits and number of radiographs required.
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