Risk Factors for Femoral Nonunion After Femoral Shaft Fracture

• DOI: 10.1097/ta.0b013e318182afd0
• Publication Date: 2009-12-03T08:16:25Z
• Authors: Lisa A. Taitsman; Joseph R. Lynch; Julie Agel; David P. Barei; Sean E. Nork
• Keywords: Femoral shaft; Femoral fracture; Weight-bearing; Femur fracture

The purpose of this study was to evaluate risk factors for nonunion after femoral nailing shaft fractures. A case-control with two one matching conducted. Forty-five patients 46 nonunions (cases) and 92 healed fractures (controls) were identified from our orthopedic trauma registry. All cases controls initially managed reamed, statically locked nails. characteristics that significantly different between the groups open fracture, delay weight bearing, tobacco use. Fracture classification, gender, direction nail insertion (antegrade vs. retrograde), Injury Severity Score not predictive nonunion. We conclude use, delayed bearing are intramedullary diaphyseal femur