NYU Langone Orthopedics

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NYU Langone Orthopedics

Sixth International NYU Langone Hip Dysplasia Symposium
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10 seconds

Repair of a Femoral Nonunion with Plate Compression and Autogenous Iliac Graft

By NYU Langone Orthopedics FEATURING Philipp Leucht, Nina Fisher, Anthony Christiano, Sanjit Konda, Kenneth A Egol

2,079 views

June 13, 2016

Purpose:
Fracture nonunion is a common problem for today’s orthopaedic surgeon. However, many techniques are ...
read more ↘ currently available for the treatment of long-bone nonunion. This video demonstrates the use of iliac crest bone graft and plate stabilization in the setting of a hypertrophic femoral nonunion.
Methods:
Treatment of femoral nonunion following intramedullary nail fixation using compression plating and bone grafting is a reliable technique for reducing pain, improving function, and achieving radiographic union. Furthermore, the use of autologous bone graft, in particular iliac crest bone graft, has provided reliable clinical results.
Results:
In this video we present the case of a hypertrophic femoral nonunion treated with supplemental bone grafting in addition to plate and screw fixation.
Conclusions:
Althought femoral nonunions are a relatively rare occurance, theys can be reasonablely treated using stabliazation and supplemental bone grafting. Iliac crest bone graft provides for excellent results when used for treatment of a fracture nonunion.

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