The Treatment of Nonunions Following Intramedullary Nailing of Femoral Shaft Fractures

Abstract

Exchange nailing without extracortical bone grafting seems to be the most effective method to treat a disturbed union of a femoral shaft fracture after intramedullary nailing. Autogenous extracortical bone grafting alone proved to be insufficient. Dynamization predisposed to shortening of the bone.