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    J Trauma. 2004 Oct;57(4):832-6.

    The use of a locked plate in the treatment of ununited femoral shaft fractures.

    Abdel-Aa AM, Farouk OA, Elsayed A, Said HG.

    From the Department of Orthopaedics and Traumatology, Assiut University Hospital, Assiut, Egypt. aabdelaa61@hotmail.com

    BACKGROUND: Sixteen patients with ununited fractures of the femur were treated by locked plate. There were 14 men and 2 women. The youngest patient was 18 years old and the oldest was 48 years (average, 32.9 years). Two fractures were infected and 14 were noninfected. METHODS: Time between injury and operation varied from 4 to 26 months (average, 8.2 months). A standard broad dynamic compression plate and AO washers and nuts were used to construct a locked plate. Follow-up ranged from 6 to 24 months. RESULTS: All fractures have healed after this operation; bone graft was not used in any of them. Time until healing ranged from 4 to 6 months (average, 4.9 months). Shortening after surgery ranged from 0 to 5 cm (average, 1.8 cm). There was no metal failure or recurrence of infection. Two patients were readmitted 1 year after operation for metal removal, knee arthrolysis, and quadricepsplasty to improve the range of motion of the knee. CONCLUSION: Locked plate fixation is rigid enough for bone healing and to allow early postoperative mobilization, with good functional outcome.

    PMID: 15514538 [PubMed - indexed for MEDLINE]

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