[Results of treatment of femoral fractures with Küntscher nail].
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During a 22 years period 21 of altogether 5,229 patients with artificial hip-joint replacement had subsequent ipsilateral femur fracture. The avoidance of this complication, its etiology, forms of fracture and therapeutical management are discussed.
We report on 56 consecutive aseptic femoral shaft nonunions with shortening, which were treated with local debridement, skeletal traction, a spine-spreader aiding lengthening, static locked nail stabilization and corticocancellous bone grafting. 51 patients were followed for 2 (1-4) years and 48 achieved a solid union. The median period to bony union was 4 (3-8) months and lengthening achieved was 2.8 (1.5-4.5) cm. 3 patients had nonunion, 2 without implant failure and 1 with implant failure. However, all 3 healed after reoperation. There was no neurovascular injury or deep infection.
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