Corticalisation After Femoral Nail Dynamization in Hypertrophic Non-unions

Prof. Dr. Cemil Tascıoglu Education and Research Hospital Organization

Status: Completed

Conditions: Pseudoarthrosis of Bone; Implant Breakage

Treatments: Procedure: exchange nailing with larger, thicker nail crossing corticalization

Study type: Interventional

Funder types: Other

Identifiers

NCT05423561

E-48670771-514.99

67

Details and patient eligibility

About

In 12 patients with corticalization and hypertrophic pseudarthrosis were present after dynamization, the old nail was removed and nail exchange was performed with a longer and larger diameter nail to pass the region formed in the cortex approximately 2-3cm inferior from the old nail.

Full description

Corticalization is cortex-like sclerosis in the distal of the nail and it may indicate the early sign of dynamization treatment failure in hypertrophic nonunion after femoral transverse diaphyseal fractures. When corticalization is seen during follow-up after dynamization is performed because of non-union of a femoral transverse fracture, nail exchange should be performed without further delay. More rigid fixation should be applied with a longer and thicker nail crossing the area of corticalization.

Enrollment: 12 patients

Sex: All

Ages: 28 to 49 years old

Volunteers: Accepts Healthy Volunteers

Inclusion criteria

• Subtrochanteric fractures
• Nonunion with Pain

Exclusion criteria

• Infection
• Pathological Fracture (Tumor)

Trial design

Primary purpose: Treatment

Allocation: N/A

Interventional model: Single Group Assignment

Masking: None (Open label)

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12 participants in 1 patient group

hypertrophic non-union developing after femoral transverse diaphyseal fractures

Other group

Treatment:

Procedure: exchange nailing with larger, thicker nail crossing corticalization