Patient |
Initial injury*
|
Age at injury (years) |
Risk factor for nonunion |
Type of nonunion |
Additional procedures |
Definitive nonunion treatment performed in conjunction with cortical venting technique |
Length of follow-up after definitive nonunion treatment |
1 |
42B2 |
30 |
Comminution, compartment syndrome |
Oligotrophic |
Exchange nailing x2 with bone grafting |
Staged exchange nailing |
48 months |
2 |
42A3 |
69 |
Smoker, advanced age, open fracture, osteomyelitis |
Hypertrophic |
Removal of hardware (nail), application of Ilizarov external fixator frame, I&D (osteomyelitis) |
Motorized telescoping intramedullary nail compressing across the nonunion |
48 months |
3 |
42B2 |
56 |
Smoker, open segmental fracture requiring flap coverage, multiple surgeries |
Oligotrophic |
Exchange nailing |
Staged exchange nailing |
60 months |
4 |
33A3 |
32 |
Open comminuted fracture, need for skin graft coverage, polytrauma |
Oligotrophic |
Retrograde IMN, revision to distal femur lateral locking plate with bone grafting, removal of distal femur lateral locking plate |
Single-stage exchange nailing |
72 months |