Is Open Bone Graft Always Necessary When Treating Subtrochanteric Nonunion With a Reamed Intramedullary Nail?

Jae Hoon Jang1 site in 1 country37 target enrollmentJanuary 1, 2008

ConditionsSubtrochanteric Nonunion

Overview

Phase: Not Applicable
Intervention: Not specified
Conditions: Subtrochanteric Nonunion
Sponsor: Jae Hoon Jang
Enrollment: 37
Locations: 1
Primary Endpoint: risk factors for nonunion
Status: Completed
Last Updated: 5 years ago

Overview Investigators Eligibility Criteria Outcomes Sites Similar Trials

Overview

Brief Summary

This study aimed to compare the radiologic results between closed nailing without bone graft (BG) and open nailing with BG for subtrochanteric nonunion and to determine when open BG should be considered.

Detailed Description

In this retrospective study, we investigated the patients who underwent surgical intervention for subtrochanteric nonunion between January 2008 and March 2018 in two institutions. The cases with infection, large bone defect, pathologic fracture, open fracture, previous surgery using plate, and follow-up less than 1 year were excluded. We compared the demographic details and radiologic results between patients who underwent the open procedure with BG (BG group) and the closed procedure without BG (non-BG group) as a historical control, and risk factors for the failure of revision surgery were evaluated.

Registry

clinicaltrials.gov

Start Date

January 1, 2008

End Date

November 1, 2019

Last Updated

5 years ago

Study Type

Observational

Sex

All

Investigators

Sponsor

Jae Hoon Jang

Responsible Party

Sponsor Investigator

Principal Investigator

Jae Hoon Jang

Associate Professor

Pusan National University Hospital

Eligibility Criteria

Inclusion Criteria

•Patients who underwent surgical intervention using intramedullary nailing for aseptic subtrochanteric nonunion

Exclusion Criteria

•The cases with infection, large bone defect, pathologic fracture, open fracture, previous and revision surgery using plate, and follow-up less than 1 year

Outcomes

Primary Outcomes

risk factors for nonunion

Time Frame: One year after surgery

Determining when open procedure with bone graft should be considered by analyzing risk factors for nonunion.

bony union

Time Frame: The time when bone union was achieved after surgery

Union was defined as painless full weight bearing with the absence of fracture line or bridging callus across at least three cortices on the AP and lateral views.