Cc. Wu et Wj. Chen, HEALING OF 56 SEGMENTAL FEMORAL-SHAFT FRACTURES AFTER LOCKED NAILING - POOR RESULTS OF DYNAMIZATION, Acta orthopaedica Scandinavica, 68(6), 1997, pp. 537-540
We treated 56 consecutive acute segmental femoral shaft fractures with
closed static locked nailing, 12 nails were dynamized after 6 (5-10)
months due to slow fracture healing and 5 united after another 5 (3-8)
months. The other 7 required cancellous bone grafting and all healed
uneventfully 6 (5-8) months after grafting. Since dynamization did not
promote healing in most of our cases we suggest early cancellous bone
grafting in cases of delayed union.