Most femoral fractures heal well with appropriate treatment. Failure of a fracture to heal is often multifactorial.
Fractures in the metaphyseal-diaphyseal transition zone that are
provoked by the dissipation of high energy are notorious for their
complications; such as infections, non-union, mal- union.
Delayed union implies slow healing, longer than is reasonably expected
for a given fracture. Non-union occurs when a fracture has ceased to
show any evidence of healing, as indicated by persistent fracture lines,
sclerosis at the fragment ends and hypertrophic or absent callus.
‘Wave’ plate fixation is a form of bridging plate fixation which also
tries to enhance the ‘tension band'effect by increasing the offset of an
appropriately contoured plate from the loading axis of the femur. In a previous study the authors reported promising results on eight cases of long standing (more than three years) non-union of
the femur treated with the compression "wave " plate according to Weber and Brunner. In this study we try to substantiate the alleged benefit of using an autologous
iliac strut graft beneath the contoured segment of the plate in decreasing the load on the plate.
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