Plate augmentation for femoral nonunion: more than just a salvage tool?

OBJECTIVE

The aim of the current study was to determine whether plate augmentation was a successful treatment algorithm for selected femoral nonunions initially managed with intramedullary nailing.

MATERIALS AND

METHODS

A total of 30 femoral nonunion cases were managed using the plate augmentation strategy with 13 primary cases and 17 multi-operated femurs (avg 2.8 ineffective procedures). Adjunctive strategies included autologous bone grafting and/or BMP for atrophic/oligotrophic and bone defect cases. Deformity correction was performed when required.

RESULTS

Osseous union occurred in 29 of 30 cases. One multi-operated case with bone defect and prior infection required repeat autologous grafting prior to union.

CONCLUSION

Plate augmentation should be added to the armamentarium for management of selected femoral nonunion that have failed initial intramedullary nailing.