Table 2 All patient data
Case | MOI | Open fracture (Gustilo) | Age / Sex | Major medical co-morbidity | Location | AO/OTA classification | Previous treatment(s) – Fixation type | Elapsed time since injury (months) | NU type (Weber-Çech) | NUSS |
|---|---|---|---|---|---|---|---|---|---|---|
1 | Fall | 75F | Hu prox | 11A2 | 7 | AT | 26 | |||
2 | Fall | 77F | DM | Hu prox | 11C3 | 6 | OT | 34 | ||
3 | Fall | 80F | CVA | Hu prox | 11A2 | 6 | OT | 36 | ||
4 | Fall | 84F | CVA, HTN | Hu shft | 12A2 | 1 – Plate | 5 | AT | 36 | |
5 | Fall | 79F | AVR, CVA | Hu shft | 12B2 | 1 – IMN | 16 | AT | 30 | |
6 | Fall | 75M | Hu shft | 12A2 | 30 | AT | 34 | |||
7 | Fall | 75F | CVA, Spinal stenosis | Hu shft | 12C3 | 7 | AT | 38 | ||
8 | Fall | 95F | Hu shft | 12B3 | 15 | OT | 24 | |||
9 | Fall | 84F | Lymphoma | Hu shft | 12A1 | 4 – Plate; Double-plate; ROH; Plate | 32 | OT | 36 | |
10 | Fall | 75F | Hu shft | 12B2 | 4 | AT | 22 | |||
11 | Fall | 83M | Hu shft | 12B1 | 1 – Plate | 9 | OT | 24 | ||
12 | Fall | 85M | Hu shft | 12A1 | 30 | AT | 28 | |||
13 | Fall | 75F | RA | Hu shft | 12B2 | 8 | AT | 32 | ||
14 | Fall | 81F | DM | Hu shft | 12A1 | 1 – IMN, cerclage wires | 19 | AT | 34 | |
15 | Fall | 78F | Cervical stenosis, Hysterectomy | Hu shft | 12C2 | 2 – IMN; Plate | 15 | OT | 17 | |
16 | MVA | IIIa | 76F | CVA, DVT, HTN | Hu dist | 13C2 | 1 – Plate | 11 | OT | 46 |
17 | Fall | 82F | DVT, HTN, Osteoporosis | Fe prox | 31A1 | 1 – IMN | 12 | AT | 44 | |
18 | Fall | 78F | Fe prox | 31A3 | 2 – DHS, cerclage wires; Plate | 11 | OT | 34 | ||
19 | Fall | 79F | Fe prox | 31A3 | 1 – IMN | 11 | OT | 32 | ||
20 | Fall | 80M | BPH, DM, Hypercholesterolemia | Fe prox | 31A3 | 1 – IMN | 12 | OT | 36 | |
21 | Fall | 79M | PE, Poliomyelitis | Fe prox | 31A3 | 1 – IMN | 8 | OT | 38 | |
22 | Fall | 83F | DM, HTN, Hypothyroidism | Fe prox | 31A2 | 1 – IMN, cerclage wires | 10 | OT | 28 | |
23 | Fall | 80M | Fe prox | 31A3 | 2 – IMN; Nail dynamization | 13 | HT | 28 | ||
24 | Fall | 85F | Fe prox | 31A2 | 1 – IMN | 14 | OT | 28 | ||
25 | Fall | 75M | Fe prox | 31A3 | 2 – IMN; Nail dynamization | 14 | AT | 28 | ||
26 | Fall | 85F | MVR | Fe prox | 31A3 | 1 – IMN | 22 | OT | 34 | |
27 | Fall | 78F | Cholecystectomy, Hepatitis, Pancreatitis, Splenectomy | Fe prox* | IV.3A | 3 – Cerclage wires; Cerclage wires; Plate | 13 | OT | 42 | |
28 | Fall | 77M | BPH, Hyperlipidemia, HTN, Obesity | Fe prox* | IV.3C | 1 – Plate, cerclage wires | 5 | OT | 44 | |
29 | Fall | 75M | BPH, HTN | Fe prox* | IV.3C | 3 – Plate; Plate; Plate | 34 | OT | 30 | |
30 | Fall | 75F | Fe prox* | IV.3C | 4 – NA; Plate; Plate; Plate | 19 | HT | 36 | ||
31 | Fall | 76F | Fe prox* | IV.3C | 1 – NA | 4 | OT | 30 | ||
32 | Fall | 80F | Hypothyroidism | Fe prox* | IV.3C | 2 – NA; Plate | 20 | HT | 24 | |
33 | Fall | 79F | AVS, Hypercholesterolemia | Fe prox* | IV.3C | 2 – Ex fix; Ex fix | 10 | AT | 32 | |
34 | Fall | 86F | Fe shft | 32B2 | 1 – DHS, plate | 11 | AT | 36 | ||
35 | MVA | 96M | Fe shft | 32A2 | 3 – NA; IMN; Plate | 127 | OT | 36 | ||
36 | Fall | 81F | CVA | Fe shft | 32B3 | 1 – IMN, cerclage wires | 8 | HT | 26 | |
37 | Fall | 81M | DM, RA | Fe shft | 32C3 | 2 – Plate; Cerclage wires | 22 | HT | 40 | |
38 | Fall | 76F | DVT | Fe dist | 33A3 | 4 – Plate; Plate; Plate; Plate | 20 | OT | 48 | |
39 | Fall | 77F | DM | Fe dist* | V.3C | 1 – Plate | 7 | OT | 32 | |
40 | MVA | 78F | HPB | Fe dist* | V.3C | 2 – Plate; Plate | 12 | OT | 28 | |
41 | Fall | 81F | AVR | Fe dist* | V.3C | 1 – Plate | 7 | HT | 28 | |
42 | Fall | 77F | Asthma, HTN, RA | Fe dist* | V.3C | 1 – Plate | 13 | OT | 40 | |
43 | Fall | 85M | CVA, Hepatitis, Hypothyroidism, MVR | Fe dist* | V.3C | 1 – Plate | 15 | HT | 26 | |
44 | Fall | 85M | Fe dist* | V.3D | 2 – Double-plate; Plate | 13 | HT | 26 | ||
45 | Fall | 87F | Breast cancer, HTN | Fe dist* | V.3B | 1 – Plate | 7 | AT | 44 | |
Case | Fixation at Index surgery | Adjuvants | Months to union | Follow-up after last surgery (months) | Intra-operative cultures | Additional performed surgeries / Complications | ||||
1 | 1/3 tubular plate, cerclage wires | ICBG | 34 | 86 | ROH | |||||
2 | Philos plate, cerclage wires | ICBG + DBM | 6 | 51 | ROH (partial) | |||||
3 | Cerclage wires | ICBG + DBM | 6 | 45 | Nonunion healed, but AVN humeral head | |||||
4 | Double-plate (4.5 LCP (hybrid), 3.5 pelvic reconstruction (non-locking) | DBM | 37 | 56 | ||||||
5 | Philos plate (locking) | DBM | 13 | 13 | ||||||
6 | Double-plate (4.5 LCP (locking), 3.5 pelvic reconstruction LCP (standard)) | ICBG + DBM | 7 | 93 | ||||||
7 | Blade plate | ICBG | 2 | 75 | ||||||
8 | Double-plate (4.5 LCP (hybrid), 3.5 pelvic reconstruction LCP (standard)) | ICBG + DBM + FA | 2 | 17 | ||||||
9 | Double-plate (3.5 LCP (hybrid), 3.5 pelvic reconstruction (standard)) | ICBG + DBM | 8 | 28 | ||||||
10 | Double-plate (3.5 LCP (hybrid), 3.5 pelvic reconstruction(hybrid)) | DBM | 3 | 13 | ||||||
11 | Double-plate (4.5 LCP (hybrid), 3.5 pelvic reconstruction (non-locking)) | DBM | 3 | 12 | ||||||
12 | Double-plate (4.5 LCP (hybrid), 3.5 pelvic reconstruction (non-locking)) | DBM | 17 | 34 | ||||||
13 | Double-plate (3.5 LCP dual plating, one straight (hybrid), one pelvic reconstruction (hybrid)) | DBM | 33 | 33 | ||||||
14 | 4.5 LCP (hybrid) | 5 | 69 | Infection, radial nerve palsy and hardware failure: Revised at 2 months after index surgery with a staged procedure consisting of debridement, revision fixation, antibiotics and Osteoset beads (first stage) and addition of graft and 3.5 pelvic reconstruction LCP (hybrid) (second stage). Finally healed at 4 months after revision | ||||||
15 | Double-plate (3.5 distal humerus metadiaphyseal plate (hybrid), 3.5 pelvic reconstruction (non-locking)) | ICBG + DBM | 2 | 12 | ||||||
16 | Double-plate (2 × 3.5 distal humerus plate (standard)) | DBM | 5 | 41 | C. acnes | |||||
17 | Blade plate | DBM + BMP-2 | 11 | 21 | CoNS | Persistent nonunion: Revised at 6 months after index surgery with double-plate (blade plate, 3.5 pelvic reconstruction plate). Finally healed at 5 months after revision | ||||
18 | Blade plate | ICBG | 44 | 56 | Persistent nonunion: Revised at 13 months after index surgery with blade plate. Finally healed at 42 months after revision | |||||
19 | Blade plate | DBM | 3 | 14 | ||||||
20 | Blade plate | ICBG | 25 | 143 | Persistent nonunion: Revised at 7 months after index surgery with blade plate. Finally healed at 8 months after revision | |||||
21 | Blade plate | ICBG | 7 | 58 | ||||||
22 | Blade plate | ICBG + DBM | 9 | 78 | ||||||
23 | Blade plate | DBM | 10 | 83 | ||||||
24 | Blade plate | ICBG | 2 | 59 | ||||||
25 | Blade plate | 2 | 43 | |||||||
26 | Blade plate | ICBG + DBM | 3 | 14 | ROH (partial) | |||||
27 | Cerclage wires | ICBG + DBM | 3 | 85 | ||||||
28 | Double-plate (4.5 LCP (hybrid), 3.5 pelvic reconstruction (non-locking)) | DBM + BMP-2 | 6 | 52 | ||||||
29 | VA distal femur LCP (hybrid) | ICBG + DBM | 12 | 34 | Persistent nonunion: Revised at 5 months after index surgery with RIA and additional DBM. Finally healed at 8 months after revision | |||||
30 | Double plate (4.5/3.5 dual metadiaphyseal plating (hybrid)) | DBM + BMP-2 | 5 | 13 | ||||||
31 | Distal femur LCP (hybrid) | DBM | 4 | 12 | ||||||
32 | Blade plate | DBM + BMP-2 | 4 | 16 | ||||||
33 | Blade plate | DBM | 12 | 57 | ||||||
34 | Blade plate | DBM | 5 | 87 | ||||||
35 | IMN | ICBG | 17 | 137 | CoNS | |||||
36 | IMN | 5 | 112 | |||||||
37 | VA distal femur LCP (hybrid) | ICBG + DBM + FA | 3 | 14 | C. acnes | |||||
38 | Double-plate (blade plate, medial Philos plate (hybrid)) | ICBG + DBM | 19 | 13 | Persistent nonunion: Revised at 6 months after index surgery with ROH (partial) and additional ICBG. Finally healed at 13 months after revision | |||||
39 | VA distal femur LCP (hybrid) | DBM | 6 | 12 | ||||||
40 | Double-plate (distal femur LCP (hybrid), 3.5 pelvic reconstruction (non-locking)) | 36 | 35 | |||||||
41 | Double-plate (VA distal femur LCP (hybrid), medial Philos plate (hybrid)) | ICBG + DBM | 3 | 12 | ||||||
42 | VA-LCP | ICBG + FA | 5 | 70 | ||||||
43 | Blade plate | DBM + BMP-2 | 10 | 20 | ||||||
44 | Double-plate (distal femur LCP (hybrid), 3.5 pelvic reconstruction (non-locking)) | DBM + BMP-2 | 15 | 21 | ||||||
45 | FA for medial bone defect fixated with 2 screws | ICBG + DBM + FA | 6 | 48 | Femoral neck fracture not related to nonunion: ROH and replaced with partial hip arthroplasty | |||||