Treatment of femoral nonunions by using cyclic compression and distraction

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dc.authoridInan, Mehmet/0000-0003-1806-7927;
dc.authorwosidInan, Mehmet/Q-6453-2019
dc.authorwosidHarma, Aki/KMA-1372-2024
dc.contributor.authorInan, M
dc.contributor.authorKaraoglu, S
dc.contributor.authorCilli, F
dc.contributor.authorTurk, CY
dc.contributor.authorHarma, A
dc.date.accessioned2024-08-04T20:14:50Z
dc.date.available2024-08-04T20:14:50Z
dc.date.issued2005
dc.departmentİnönü Üniversitesien_US
dc.description.abstractEleven patients with femoral diaphyseal nonunions after intramedullary nailing were treated with cyclic compression and distraction with an external fixator over the nail. We evaluated the limitations of this technique and whether patients having this closed procedure could achieve union without additional operative procedures. Patients with hypertrophic nonunions (n = 4) were treated with gradual compression of the nonunion site. Cyclic compression and distraction was done in patients with oligotrophic (n = 2) or atrophic nonunions (n = 5) to stimulate consolidation. The average age of the patients was 32.9 years (range, 21-48 years), and the average followup was 40.5 months (range, 24-64 months). Union was achieved in an average of 5.8 months in all patients after one operation and without additional surgical intervention. However, pain necessitating strong analgesic agents and pin-related complications consisting of osteomyelitis, septic arthritis, and pin breakage in the atrophic nonunion group were a major limitation of this technique. Based on our study, the cyclic compression and distraction technique can be used in hypertrophic and oligotrophic nonunions that have failed one or more prior exchange nailings. However, it might not be an option for treatment of patients with atrophic nonunions unless pin-site problems are resolved.en_US
dc.identifier.doi10.1097/01.blo.0000159153.09508.97
dc.identifier.endpage228en_US
dc.identifier.issn0009-921X
dc.identifier.issn1528-1132
dc.identifier.issue436en_US
dc.identifier.pmid15995445en_US
dc.identifier.scopus2-s2.0-21844436074en_US
dc.identifier.scopusqualityQ1en_US
dc.identifier.startpage222en_US
dc.identifier.urihttps://doi.org/10.1097/01.blo.0000159153.09508.97
dc.identifier.urihttps://hdl.handle.net/11616/93995
dc.identifier.wosWOS:000230292900034en_US
dc.identifier.wosqualityQ2en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherLippincott Williams & Wilkinsen_US
dc.relation.ispartofClinical Orthopaedics and Related Researchen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectPlate Fixationen_US
dc.subjectAseptic Nonunionen_US
dc.subjectShaft Fracturesen_US
dc.subjectFemuren_US
dc.subjectTibiaen_US
dc.subjectNailen_US
dc.titleTreatment of femoral nonunions by using cyclic compression and distractionen_US
dc.typeArticleen_US

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