Plate augmentation of fracture nonunion with ILN in situ- a retrospective observational study

Background: Fracture shaft femur is common orthopedic trauma. The most preferred method of treatment for fracture femur is interlocking nail as it has many advantages, but it also has one uncommon disadvantage of non-union which may be due to many reasons. We present our experience of plate augmentation leaving the nail in situ for nonunion of femoral shaft fracture. It is an efficient technique, which provides rotational stability and protects the plate from bending forces.

Methods: This retrospective observational study was conducted in the department of orthopedics at SMS hospital. 16 Cases of femoral shaft nonunion with an intramedullary nail in situ were included in this study. All the patients were followed up clinically and radiologically at 1 month, 3 months and 6 months postoperatively.

Result: All patients of non-union included in study achieve union with full range of motion. Patients can start walking without support after 3 months and radiologically union can be seen after 6 months.

Conclusion: Plate augmentation in nonunion femur shaft fracture with ILN in situ is effective treatment which has many advantages over other available methods