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Treatment of Femoral Shaft Pseudarthrosis, Case Series and Medico-Legal Implications.

Authors :
Basile G
Fozzato S
Petrucci QA
Gallina M
Bianco Prevot L
Accetta R
Zaami S
Source :
Journal of clinical medicine [J Clin Med] 2022 Dec 14; Vol. 11 (24). Date of Electronic Publication: 2022 Dec 14.
Publication Year :
2022

Abstract

Pseudarthrosis (PSA) is a possible complication of femoral shaft fracture treatment. It is often associated with reduced bone quality and can, therefore, adversely affect quality of life. Its treatment poses a major challenge for orthopaedic surgeons. Several authors have set forth different surgical approaches for the treatment of pseudarthrosis, such as internal fixation with plate and screws, replacement of an intramedullary nail or prosthetic replacement. In cases associated with bone loss, osteopenia, or comminution of fracture fragments, autologous or homologous bone grafts may also be used. The chronic outcomes of the surgical treatment of femoral shaft pseudarthrosis, even when consolidation is achieved, are linked to disabling sequelae of clinical-functional relevance, deserving an adequate medico-legal evaluation. The purpose of this retrospective study is to analyse a clinical case series of patients treated for atrophic femoral shaft pseudarthrosis at the IRCCS Orthopaedic Institute Galeazzi, Milan, Italy, from 2014 to 2020 and their orthopaedic-traumatological and medico-legal implications.

Details

Language :
English
ISSN :
2077-0383
Volume :
11
Issue :
24
Database :
MEDLINE
Journal :
Journal of clinical medicine
Publication Type :
Academic Journal
Accession number :
36556022
Full Text :
https://doi.org/10.3390/jcm11247407