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Management of femoral non-union with post-traumatic bone defect using second-generation PRECICE® nail - A Case Report Trauma Case Reports

Published version
Peer-reviewed

Repository DOI


Type

Article

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Authors

Zhang, James 
Krkovic, Matija 

Abstract

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 ~5mm 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.

Description

Keywords

Fracture, Limb lengthening, Osteogenesis, Trauma

Journal Title

Trauma Case Reports

Conference Name

Journal ISSN

2352-6440
2352-6440

Volume Title

Publisher

Elsevier

Version History

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2*
2023-07-13 14:08:13
Published version added
2021-12-21 00:32:04
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