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RCT
ACE Report #5117
Ace Report Cover General Orthopaedics

Intramedullary nailing with reaming in femoral shaft fractures results in less nonunion


Study Type:Therapy
OE Level Evidence:1
Journal Level of Evidence:N/A

Nonunion following intramedullary nailing of the femur with and without reaming. Results of a multicenter randomized clinical trial

J Bone Joint Surg Am. 2003 Nov;85-A(11):2093-6

Contributing Authors: Canadian Orthopaedic Trauma Society

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Synopsis

224 patients with femoral shaft fractures were randomized to undergo intramedullary nailing with or without reaming of the canal. The two groups were comparable with regard to the measured patient and injury characteristics. Patients were followed every 6 weeks until union was achieved or a diagnosis of nonunion was made. Significantly more patients in the non-reaming group had nonunions compared ...

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