Is augmentation plating an effective treatment for non-union of femoral shaft XXXX with nail in situ?

@entity1 @entity2176 @entity174 @entity1184 @entity190 @entity3202 @entity281 @entity85
PURPOSE: There are few reports of non-union femur shaft @entity174 treated with plate fixation with the nail in situ. This study reports our results in 40 cases. METHODS: Retrospective series of non-union and delayed union of femoral shaft after intramedullary nailing treated with plate fixation. @entity1 were serially followed-up till 12  months. @entity174 union, time to union, knee range of motion, @entity85 were recorded. Descriptive statistics were performed as applicable. RESULTS: There were 40 @entity1 with mean age of 35  years (18-65). There were 14 cases of @entity1184 non-union, 24 cases of @entity3202 cases of delayed union. The average time of surgery was 1     h and average @entity190 was 300  ml. Exchange nailing was done in 9 cases. Union was achieved in 39 @entity1 . The mean time to @entity174 union was 4  months. Post-operative knee range of motion was >120   in 35 @entity1 . One @entity1 developed @entity281 which was treated with removal of implants and exchange nailing with a @entity2176 coated nail and union was achieved. CONCLUSION: Plating is an effective treatment for non-union of @entity174 after intramedullary fixation with the nail in situ.
