For citation purposes: Suresh SS. Exchange nailing and percutaneous bone grafting for management of aseptic non-union of the femur. Hard Tissue 2013 Feb 16;2(1):8.

Research study

 
Trauma & Orthopaedics

Exchange nailing and percutaneous bone grafting for management of aseptic non-union of the femur

SS Suresh
 

Authors affiliations

Department of Orthopaedics, Ibri Regional Referral Hospital, Sultanate of Oman

* Corresponding author Email: dr.s.s.suresh@gmail.com

Abstract

Introduction

Non-union of femur fracture is a known complication, managed by various methods, including exchange nailing. Additional bone grafting is known to enhance fracture healing. Percutaneous bone grafting has been reported for tibia and humerus in the literature. The authors report a series of aseptic non-union of the femoral shaft managed by exchange nailing, supplemented with percutaneous reamer debris grafting.

Materials and methods

Our purpose was to deliver more vital osteoblasts to the fracture gap through a percutaneous route. The reamer debris, which accumulated at the proximal entry point and collected from the reamer flutes, was percutaneously delivered into the non-union site, after disturbing the fibrous tissue around the fracture. This study analysed the management of aseptic non-union of five cases of aseptic non-union of the femur in adults.

Results

The fracture was found healed when there was bony continuity in at least three cortices and the patient was able to bear weight without pain.

Conclusion

We achieved sound union in all five cases of aseptic non-union of the femur with our technique of exchange nailing with percutaneous bone grafting.

Licensee OA Publishing London 2013. Creative Commons Attribution License (CC-BY)
Keywords