Sclerotic Bone Formation (Corticalisation) on the Intramedullar Nail Tip in Hypertrophic Non-union Developing After Femoral Transverse Diaphyseal Fractures
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 发起方
- 入组人数
- 12
- 主要终点
- Provide Bone Union
研究概览
简要总结
In 12 patients with corticalization and hypertrophic pseudarthrosis were present after dynamization, the old nail was removed and nail exchange was performed with a longer and larger diameter nail to pass the region formed in the cortex approximately 2-3cm inferior from the old nail.
详细描述
Corticalization is cortex-like sclerosis in the distal of the nail and it may indicate the early sign of dynamization treatment failure in hypertrophic nonunion after femoral transverse diaphyseal fractures. When corticalization is seen during follow-up after dynamization is performed because of non-union of a femoral transverse fracture, nail exchange should be performed without further delay. More rigid fixation should be applied with a longer and thicker nail crossing the area of corticalization.
研究设计
- 研究类型
- Interventional
- 分配方式
- Na
- 干预模型
- Single Group
- 主要目的
- Treatment
- 盲法
- None
入排标准
- 年龄范围
- 28 Years 至 49 Years（Adult）
- 性别
- All
- 接受健康志愿者
- 是
入选标准
- •Subtrochanteric fractures
- •Nonunion with Pain
排除标准
- •Infection
- •Pathological Fracture (Tumor)
结局指标
主要结局
Provide Bone Union
时间窗: 6 months
Achievement of bone union with detecting callus formation on radiography after passing the region of corticalisation with a longer and thicker nail
Relieving pain in the nonunion area
时间窗: 6 weeks
Detection of reduction of pain scores in the nonunion area and enabling patients to load on the extremity in the early period postoperatively
次要结局
未报告次要终点
研究者
Ali Çağrı Tekin
Associated Professor
Prof. Dr. Cemil Tascıoglu Education and Research Hospital Organization