Management of femoral non-union with post-traumatic bone defect using second-generation PRECICE® nail - A case report.
Trauma Case Rep
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Lu, V., Zhang, J., & Krkovic, M. (2022). Management of femoral non-union with post-traumatic bone defect using second-generation PRECICE® nail - A case report.. Trauma Case Rep https://doi.org/10.1016/j.tcr.2021.100585
The management of post-traumatic bone defects with non-union remains a surgical challenge. Current techniques are often fraught with complications, posing a functional, economical, and psychological challenge for the patient. A 57 year-old gentlemen suffered an open femoral fracture after a motorcycle accident. Having previously undergone open reduction internal fixation, he presented to us with atrophic non-union and bone defects, which were simultaneously treated with a second-generation PRECICE nail. Our treatment protocol was based on the strain theory, and involved initial distraction by ~5 mm at the non-union site, compression of the non-union site, followed by distraction osteogenesis at the non-union site. The patient achieved union and the initially planned limb lengthening regime was achieved with minimal complications. Self-lengthening, magnetically-driven PRECICE nails can successfully restore union and manage limb length discrepancies with reasonable patient satisfaction and minimal complications.
External DOI: https://doi.org/10.1016/j.tcr.2021.100585
This record's URL: https://www.repository.cam.ac.uk/handle/1810/331647
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Licence URL: https://creativecommons.org/licenses/by/4.0/