Objectives
There are several methods to manage an aseptic nonunited fracture femur over a dynamized interlocking nail. The aim of this study is to report and evaluate the outcome of plate augmentation in the management of aseptic nonunited femoral fractures fixed by a dynamized intramedullary nail.
Patients and methods
This prospective study included 17 patients (10 male and seven females) with an aseptic nonunited fracture femur over a dynamized intramedullary locked nail. Patients’ ages varied from 27 to 65 years, with a mean age of 45.5 years. All patients were managed by augmenting the fracture site by plate fixation, and an autograft was used in five patients.
Results
All our patients achieved painless unaided full weight bearing within 5 months (mean duration 15 months). The complete union was achieved in all patients, which was radiologically evident at a mean duration of 16 (ranging from 14 to 22 months). Complications occurred in two (11.7%) cases: one experienced postoperative hematoma, and the experienced from 1.5-cm limb shortening.
Conclusion
Plate augmentation is a reliable procedure for the management of aseptic nonunited femoral fractures fixed by a dynamized intramedullary nail.