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Risk factors for femoral nonunion after femoral shaft fracture
- Source :
- The Journal of trauma. 67(6)
- Publication Year :
- 2009
-
Abstract
- The purpose of this study was to evaluate risk factors for nonunion after femoral nailing of femoral shaft fractures. A case-control study with two to one matching was conducted. Forty-five patients with 46 femoral nonunions (cases) and 92 patients with healed femoral shaft fractures (controls) were identified from our orthopedic trauma registry. All cases and controls were initially managed with reamed, statically locked femoral nails. The characteristics that were significantly different between the two groups were open fracture, delay to weight bearing, and tobacco use. Fracture classification, gender, direction of nail insertion (antegrade vs. retrograde), and Injury Severity Score were not predictive of nonunion. We conclude that open fracture, tobacco use, and delayed weight bearing are risk factors for femoral nonunion after intramedullary nailing for diaphyseal femur fractures.
- Subjects :
- musculoskeletal diseases
Adult
Male
Open fracture
medicine.medical_specialty
Adolescent
Nonunion
Dentistry
Bone Nails
Critical Care and Intensive Care Medicine
medicine.disease_cause
law.invention
Weight-bearing
Intramedullary rod
Weight-Bearing
Fractures, Open
Injury Severity Score
Sex Factors
law
Predictive Value of Tests
Risk Factors
Medicine
Humans
Femur
Registries
Risk factor
Fractures, Malunited
Aged
Retrospective Studies
Aged, 80 and over
Femur fracture
Chi-Square Distribution
integumentary system
business.industry
Tobacco Use Disorder
Middle Aged
medicine.disease
Surgery
Fracture Fixation, Intramedullary
Treatment Outcome
Case-Control Studies
Fractures, Ununited
Female
business
Femoral Fractures
Subjects
Details
- ISSN :
- 15298809
- Volume :
- 67
- Issue :
- 6
- Database :
- OpenAIRE
- Journal :
- The Journal of trauma
- Accession number :
- edsair.doi.dedup.....aefab5285c1aa7481adfed96d415f70f