Abstract
Results: Average follow up period was 12 months (range 8–36). All nonunions healed without the need for further surgery and the union period was median 3.5 months (range, 3–9 months). No major surgical complications were noted. Conclusion: Although exchange nailing with antegrade insertion is the first choice in the treatment of femoral shaft aseptic nonunion, especially in the distal part of the femoral shaft a reamed retrograde locked intramedullary nailing seems to be an effective treatment method for recalcitrant nonunions.
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