%0 Journal Article %1 noauthororeditor %A Turaev, A. P. Alimov | Sh. Kh. %D 2023 %J CENTRAL ASIAN JOURNAL OF MEDICAL AND NATURAL SCIENCE %K Femur fractures, revision surgery %N 6 %P 1053-1064 %T Complex Surgical Treatment of Non-United Fractures and False Joints of the Femur %U https://cajmns.centralasianstudies.org/index.php/CAJMNS/article/view/2186/2227 %V 4 %X Despite greater understanding of biomechanics and improvements in implant design, nonunion of femoral shaft fractures continues to be a major challenge in the treatment of such injuries (Bishop JA, Palanca AA). Femoral nonunion presents a challenge for the surgeon and entails significant personal and economic burden for the patient. In most cases of femoral fractures treated with intramedullary osteosynthesis, the incidence of this complication is estimated at approximately 1% (Zura et al., 2016; Santolini et al., 2015). Recent reports suggest an increase in this incidence due to advances in trauma medicine, resulting in increased survival of patients with severe trauma and expanded indications for the use of intramedullary nails. Although the treatment of femoral shaft fractures is well described in the orthopedic literature, information on the treatment of nonunions of this part of the bone is limited and controversial, due to the small number of cases in most of the reported series. Despite this, a careful analysis of the existing literature provides some answers regarding the choice between conservative and surgical treatment. The gold standard in the treatment of nonunions of the femoral diaphysis remains surgical intervention in the form of intramedullary osteosynthesis with closed reaming or exchange osteosynthesis. However, several alternative techniques have been noted, including the use of electromagnetic fields, low-intensity ultrasound, extracorporeal shock wave therapy, external fixators, and exchange or indirect plate osteosynthesis techniques. This article provides a comprehensive review of current treatments for aseptic midshaft nonunion, preceded by a brief review of the incidence, definition, classification, and risk factors of this complication.

@article{noauthororeditor, abstract = {Despite greater understanding of biomechanics and improvements in implant design, nonunion of femoral shaft fractures continues to be a major challenge in the treatment of such injuries (Bishop JA, Palanca AA). Femoral nonunion presents a challenge for the surgeon and entails significant personal and economic burden for the patient. In most cases of femoral fractures treated with intramedullary osteosynthesis, the incidence of this complication is estimated at approximately 1% (Zura et al., 2016; Santolini et al., 2015). Recent reports suggest an increase in this incidence due to advances in trauma medicine, resulting in increased survival of patients with severe trauma and expanded indications for the use of intramedullary nails. Although the treatment of femoral shaft fractures is well described in the orthopedic literature, information on the treatment of nonunions of this part of the bone is limited and controversial, due to the small number of cases in most of the reported series. Despite this, a careful analysis of the existing literature provides some answers regarding the choice between conservative and surgical treatment. The gold standard in the treatment of nonunions of the femoral diaphysis remains surgical intervention in the form of intramedullary osteosynthesis with closed reaming or exchange osteosynthesis. However, several alternative techniques have been noted, including the use of electromagnetic fields, low-intensity ultrasound, extracorporeal shock wave therapy, external fixators, and exchange or indirect plate osteosynthesis techniques. This article provides a comprehensive review of current treatments for aseptic midshaft nonunion, preceded by a brief review of the incidence, definition, classification, and risk factors of this complication.}, added-at = {2024-02-16T13:00:05.000+0100}, author = {Turaev, A. P. Alimov | Sh. Kh.}, biburl = {https://www.bibsonomy.org/bibtex/2e834c2154ad47248f8a9ef3420b6a006/centralasian_20}, interhash = {c659a7da4dbd6742f6206e0d32c5d1cd}, intrahash = {e834c2154ad47248f8a9ef3420b6a006}, issn = {2660-4159}, journal = {CENTRAL ASIAN JOURNAL OF MEDICAL AND NATURAL SCIENCE}, keywords = {Femur fractures, revision surgery}, language = {english}, month = dec, number = 6, pages = {1053-1064}, timestamp = {2024-02-16T13:00:05.000+0100}, title = {Complex Surgical Treatment of Non-United Fractures and False Joints of the Femur}, url = {https://cajmns.centralasianstudies.org/index.php/CAJMNS/article/view/2186/2227}, volume = 4, year = 2023 }