Challenge to treat hypertrophic nonunion of the femoral shaft: the Poller screw augmentation technique

Eur J Orthop Surg Traumatol. 2016 Aug;26(6):559-63. doi: 10.1007/s00590-016-1814-7. Epub 2016 Jul 6.

Abstract

The management of a femoral nonunion after intramedullary nailing is challenging. Exchange nailing or plate augmentation has been used to treat hypertrophic nonunions previously. The Poller screw augmentation technique is a simple procedure that can be performed in the outpatient surgery. In this study, we highlight the method of hypertrophic nonunion management according to the specific indication including our Poller screw augmentation technique.

Keywords: Femur; Femur shaft; Nailing; Nonunion; Poller screw.

Publication types

  • Review

MeSH terms

  • Bone Screws
  • Femoral Fractures* / diagnosis
  • Femoral Fractures* / surgery
  • Femur / diagnostic imaging
  • Fracture Fixation, Intramedullary* / adverse effects
  • Fracture Fixation, Intramedullary* / instrumentation
  • Fracture Fixation, Intramedullary* / methods
  • Fractures, Ununited* / diagnosis
  • Fractures, Ununited* / etiology
  • Fractures, Ununited* / surgery
  • Humans
  • Postoperative Complications* / diagnosis
  • Postoperative Complications* / surgery
  • Treatment Outcome