International Orthopaedics (SICOT) (2017) 41:1859–1864 DOI 10.1007/s00264-017-3535-x ORIGINAL PAPER Chipping and lengthening over nailing technique for femoral shaft nonunion with shortening 1 1 1,2,3 1 Gen Sasaki & Yoshinobu Watanabe & Motoyuki Takaki & Youichi Yasui & 1 1 1,2,3 Wataru Miyamoto & Hirotaka Kawano & Takashi Matsushita Received: 2 February 2017 /Accepted: 5 June 2017 /Published online: 21 June 2017 SICOT aisbl 2017 . . Abstract Keywords Femoral shaft nonunion Operative treatment . . Purpose Chipping and lengthening over nailing (CLON) Retrospective study External fixator Intramedullary nailing technique was developed to treat femoral shaft nonunion with shortening more than 10 mm. The purpose of the current ret- rospective case series was to clarify the effectiveness of the Introduction CLON technique on the femoral shaft nonunion following intramedullary nailing. Despite the current advancement of surgical technique and Methods Clinical and radiological outcomes in the patients devices, femoral shaft fracture sometimes fails to heal devel- receiving operative treatment for femoral shaft nonunion be- oping nonunion. Followed by the development of tween August 2012 and December 2016 were retrospectively intramedullary (IM) nailing technique for the femoral shaft reviewed using the Refractory Fracture Data Registry at the fractures, most can obtain solid
International Orthopaedics – Springer Journals
Published: Jun 21, 2017
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