J Trauma. 1991 Dec;31(12):1659-62.

Distal femoral nonunion treated with interlocking nailing.

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Department of Orthopedic Surgery, Chang Gung Memorial Hospital, Chang Gung Medical College, Taiwan, Republic of China.

Abstract

From December 1986 to September 1989, 24 consecutive cases of distal femoral nonunion in adults were treated with Grosse-Kempf interlocking nailing and prospectively followed for an average of 32 months. The union rate was 91.7% (22/24) with a union period of 4.5 +/- 1.8 months. Complications occurred in two patients (8.3%), who suffered nonunion because of implant failure. A cast brace is very useful in promoting ambulation and reducing early overactivity. The potential for implant failure is a result of a concentration of stress over the nail hole, with the most stress occurring near the fracture site (p less than 0.05).

PMID:: 1749039; [PubMed - indexed for MEDLINE]

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Distal femoral nonunion treated with interlocking nailing.

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