Intramedullary nailing of non-united plated femoral diaphyseal fractures .
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by one or more authors of the
original publication.
Intramedullary Fixation of Failed Plated Femoral Diaphyseal Fractures: Are Bone Grafts Necessary?
J Trauma. 2008 Sep;65(3):692-7.
40 patients (mean age 30.8 yr) with non-united fractures of the femoral shaft, previously managed with plating, were scheduled for the second procedure of reamed intramedullary fixation and were randomized to the use of autogenous iliac crest bone graft or no bone graft. The reamed interlocking medullary fixation both with or without autogenous iliac bone graft was found to produce similar clinical outcomes; however, the fixation without bone graft had shorter operating time and less blood loss.
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