Reamed Exchange Nailing in Nonunion of Tibial Shaft Fractures: A Review of the Current Evidence.
bone grafts
non-union
tibia nail
tibia non-union
tibial shaft fracture
Journal
Cureus
ISSN: 2168-8184
Titre abrégé: Cureus
Pays: United States
ID NLM: 101596737
Informations de publication
Date de publication:
19 Jul 2020
19 Jul 2020
Historique:
entrez:
22
8
2020
pubmed:
22
8
2020
medline:
22
8
2020
Statut:
epublish
Résumé
One of the most dreaded complications of fracture management is a nonunion. Nonunions are usually difficult to manage and can be a source of significant mental, physical, and financial distress to the patient. The incidence of nonunion is dependent on multiple factors including degree of comminution, open versus closed, concomitant infection, and vascular status, and therefore the management of such nonunions continues to be an often debated topic. Currently, there is no clear consensus on the role of reamed exchange nailing for tibial shaft nonunions. While reamed exchange nailing for aseptic tibial shaft nonunions has shown promising results, with very high union rates, many surgeons prefer newer novel techniques such as plating along with osteoperiosteal decortication or the use of more conventional compressive plating with bone grafts. The aim of this article is to critically review and understand the available evidence base on reamed exchange nailing in nonunion of tibial shaft fractures and to explore the other options available and their indications.
Identifiants
pubmed: 32821613
doi: 10.7759/cureus.9267
pmc: PMC7431313
doi:
Types de publication
Journal Article
Review
Langues
eng
Pagination
e9267Informations de copyright
Copyright © 2020, Bhan et al.
Déclaration de conflit d'intérêts
The authors have declared that no competing interests exist.
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