Long-Term Outcomes Following Single-Stage Reamed Intramedullary Exchange Nailing in Apparently Aseptic Femoral Shaft Nonunion with Unsuspected Proof of Bacteria

Hackl S, von Rüden C, Trenkwalder K, Keppler L, Hierholzer C, Perl M (2024)

Publication Type: Journal article

Publication year: 2024

Journal

Journal of Clinical Medicine MDPI

Book Volume: 13

Article Number: 1414

Journal Issue: 5

DOI: 10.3390/jcm13051414

Abstract

Background: The aim of this study was to evaluate detection rates and risk factors for unsuspected proof of bacteria, as well as clinical and radiologic outcomes following femoral shaft nonunion without clinical signs of infection treated by a single-stage surgical revision procedure including reamed intramedullary exchange nailing. Methods: A retrospective cohort study was performed in a European level I trauma center between January 2015 and December 2022. Fifty-eight patients were included who underwent reamed intramedullary exchange nailing as a single-step procedure for surgical revision of posttraumatic diaphyseal femoral nonunion without any indications of infection in medical history and without clinical signs of local infection. Clinical details of the patients were analyzed and functional and radiologic long-term outcomes were determined. Results: In all patients, with and without proof of bacteria osseous, healing could be observed. The physical component summary of the SF-12 demonstrated significantly better results at least one year after the final surgical revision in case of a negative bacterial culture during exchange nailing. Conclusions: Clinical long-term outcomes demonstrated a trend towards better results following femoral shaft nonunion revision if there was no evidence for the presence of low-grade infected nonunion. In this case, a single-stage surgical procedure may be recommended.

Authors with CRIS profile

Mario Perl Lehrstuhl für Unfallchirurgie und Orthopädie

Involved external institutions

Berufsgenossenschaftliche Unfallklinik (BGU) Murnau DE Germany (DE) Paracelsus Medizinische Privatuniversität AT Austria (AT) Universitätsspital Zürich (USZ) CH Switzerland (CH)

How to cite

APA:

Hackl, S., von Rüden, C., Trenkwalder, K., Keppler, L., Hierholzer, C., & Perl, M. (2024). Long-Term Outcomes Following Single-Stage Reamed Intramedullary Exchange Nailing in Apparently Aseptic Femoral Shaft Nonunion with Unsuspected Proof of Bacteria. Journal of Clinical Medicine, 13(5). https://doi.org/10.3390/jcm13051414

MLA:

Hackl, Simon, et al. "Long-Term Outcomes Following Single-Stage Reamed Intramedullary Exchange Nailing in Apparently Aseptic Femoral Shaft Nonunion with Unsuspected Proof of Bacteria." Journal of Clinical Medicine 13.5 (2024).

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