Abstract
Objective To investigate the effects of locking compression plate(LCP)used in unicortical fixation for treating nonunion of long bone fracture following intramedullary nailing.Methods From July 2004 to March 2007, 8 cases of long bone nonunion after intramedullary nailing were treated with unicortical LCP fixation and iliac bone graft, without removal of intramedullary nails.The treatment lasted 12 to 28(mean, 19.8)months.Results All cases were followed up for 8 to 20(mean, 14)months.Bony callus appeared at the broken ends of fracture 6 months after the operation.Firm unions were obtained within 8 to 16(mean, 12.6)months, and no such complications as loosening of inserts were found.Conclusions LCP unicortical fixation and iliac bone graft can be applied for patients suffering from long bone nonunions after failed intramedullary nailing.The advanced locking design of the plate can allow the patients to achieve satisfactory healing when walking naturally. Key words: Femur; Tibia; Facture fixation,internal; Fracture,ununited
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