Scholarlink

Introduction <p>The objective of this study was to evaluate the rate of nonunion repair success in tibia nonunions treated with exchange nailing. This retrospective cohort study was conducted across five academic Level 1 trauma centers and included 63 patients with tibia nonunions.</p> Materials and Methods <p>Patients who sustained a tibia fracture (AO/OTA 42) treated with intramedullary fixation that developed a nonunion and were subsequently treated with exchange nailing were retrospectively reviewed. The primary outcome measure was nonunion repair success based on osseous union. Additional analyses included union rate by AO/OTA classification, nonunion type, implant(s) used, graft used, time from initial procedure, and infection status.</p> Results <p>All patients sustained an AO/OTA type 42 fracture. Out of 63 patients, 47 tibias (75%) achieved osseous union after the index exchange nail procedure. The rates of nonunion revision success were similar across nonunion types and time from initial procedure until exchange nailing. There was no significant difference in union rate when infection was present. Complications included re-operation, readmission, infection, and implant failure.</p> Conclusions <p>This large, multicenter study with contemporary implants, instruments, and techniques for exchange nailing tibia nonunions demonstrates a nonunion repair success rate of 75%, consistent with the lower end of reported data in previous literature. No identifiable risk factors for failure of exchange nailing in tibia nonunions were found.</p> Level of Evidence <p>Level III Evidence</p>

错误：搜索内容不能为空，请输入英文关键词
错误：关键词超出字数限制，请精简
高级检索

Rates of union and risk factors for continued nonunion following exchange nailing of tibial nonunion

  • 期刊论文

  • 出版模式：

    开放获取

  • 发表日期：

    2026年5月9日

查看全文
  • Julia C. Mastracci,
  • Benjamin Averkamp,
  • Matthew Braswell,
  • Ziqing Yu,
  • Andrew T. Chen,
  • Roman M. Natoli,
  • Hassan Farooq,
  • Hassan Mir,
  • Jessica Rivera,
  • Rachel B. Seymour,
  • Joseph R. Hsu,
  • Eddie Komi Afetse,
  • Rodney Arthur,
  • Gisele Bailey,
  • Amy Bauer,
  • Ainsley Bloomer,
  • Landon Bulloch,
  • Christine Churchill,
  • Samuel Cohen Tanugi,
  • Cameron Collins,
  • Mario Cuadra,
  • Cara Girardi,
  • William Bryce Haynes,
  • Anna Hemminger,
  • Alexander Hysong,
  • Josef Jolissaint,
  • Jenna Jones,
  • Madhav Karunakar,
  • Laurence Kempton,
  • Nathaniel Koutlas,
  • Shreyas Kudrimoti,
  • Kathryn Leighty,
  • Scott Lewis,
  • Luke A. Lopas,
  • David Macknet,
  • Joseph Michalski,
  • Susan Odum,
  • Alexander Padovano,
  • Patrick Pallitto,
  • Katheryn Peterson,
  • Kevin Phelps,
  • Hannah Pollock,
  • Samuel L. Posey,
  • Olivia Rice,
  • James Michael Ruth,
  • Marc Schatz,
  • Ishani Sharma,
  • Stephen Sims,
  • Lisa Stang,
  • Thomas Stang,
  • Amber Stanley,
  • Juliette Sweeney,
  • Julie Titter,
  • Meghan Wally,
  • Andrew Wohler,
  • Robert D. Zura,
  • Mir Ibrahim Sajid

摘要

Introduction

The objective of this study was to evaluate the rate of nonunion repair success in tibia nonunions treated with exchange nailing. This retrospective cohort study was conducted across five academic Level 1 trauma centers and included 63 patients with tibia nonunions.

Materials and Methods

Patients who sustained a tibia fracture (AO/OTA 42) treated with intramedullary fixation that developed a nonunion and were subsequently treated with exchange nailing were retrospectively reviewed. The primary outcome measure was nonunion repair success based on osseous union. Additional analyses included union rate by AO/OTA classification, nonunion type, implant(s) used, graft used, time from initial procedure, and infection status.

Results

All patients sustained an AO/OTA type 42 fracture. Out of 63 patients, 47 tibias (75%) achieved osseous union after the index exchange nail procedure. The rates of nonunion revision success were similar across nonunion types and time from initial procedure until exchange nailing. There was no significant difference in union rate when infection was present. Complications included re-operation, readmission, infection, and implant failure.

Conclusions

This large, multicenter study with contemporary implants, instruments, and techniques for exchange nailing tibia nonunions demonstrates a nonunion repair success rate of 75%, consistent with the lower end of reported data in previous literature. No identifiable risk factors for failure of exchange nailing in tibia nonunions were found.

Level of Evidence

Level III Evidence