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| Name | Class |
|---|---|
| Pusan National University Yangsan Hospital | OTHER |
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This study aimed to compare the radiologic results between closed nailing without bone graft (BG) and open nailing with BG for subtrochanteric nonunion and to determine when open BG should be considered.
In this retrospective study, we investigated the patients who underwent surgical intervention for subtrochanteric nonunion between January 2008 and March 2018 in two institutions. The cases with infection, large bone defect, pathologic fracture, open fracture, previous surgery using plate, and follow-up less than 1 year were excluded. We compared the demographic details and radiologic results between patients who underwent the open procedure with BG (BG group) and the closed procedure without BG (non-BG group) as a historical control, and risk factors for the failure of revision surgery were evaluated.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Bone graft group | The bone graft group (n=19) who underwent open nailing with open bone graft for aseptic subtrochanteric nonunion |
| |
| Non bone graft group | The non-BG group (n=18) who underwent closed reamed nailing without bone graft for aseptic subtrochanteric nonunion |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Revision surgery with / without open bone graft | Procedure | Removal of previous implant and re-alignment and re-fixation using intramedullary nail with (bone graft group) / without (non bone graft group) open bone graft |
| Measure | Description | Time Frame |
|---|---|---|
| bony union | Union was defined as painless full weight bearing with the absence of fracture line or bridging callus across at least three cortices on the AP and lateral views. | The time when bone union was achieved after surgery |
| risk factors for nonunion | Determining when open procedure with bone graft should be considered by analyzing risk factors for nonunion. | One year after surgery |
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Inclusion Criteria:
Exclusion Criteria:
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Patients who visited our institutions for surgical treatment of subtrochanteric nonunion and underwent surgical intervention in the institutions.
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Pusan National University Hospital | Busan | 49241 | South Korea |
I would like to determine whether or not to share IPD after publication.
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| ID | Term |
|---|---|
| D012086 | Reoperation |
| ID | Term |
|---|---|
| D013514 | Surgical Procedures, Operative |
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