{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,11,18]],"date-time":"2025-11-18T20:03:57Z","timestamp":1763496237392,"version":"3.45.0"},"reference-count":15,"publisher":"AVES YAYINCILIK A.\u015e.","issue":"4","license":[{"start":{"date-parts":[[2020,2,7]],"date-time":"2020-02-07T00:00:00Z","timestamp":1581033600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2016,5,29]],"date-time":"2016-05-29T00:00:00Z","timestamp":1464480000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["AOTT"],"abstract":"<jats:p>Objective: To explore the indications and efficacy of augmentative locking compression plate (LCP) or less invasive stabilization system (LISS)with autogenous bone grafting (BG) in treating distal femoral nonunion subsequent to failed retrograde intramedullary nailing (RIN).\n\nMethods: A retrospective study was performed for 21 patients with distal femoral nonunion subsequent to failed RIN, who received therapy with either augmentative LCP (n &amp;frac14; 11) or LISS with autogenous BG (n &amp;frac14; 13). Operation time, time to union, union rate, time to renonunion, complication rate and SF-36 scores a year after hardware removal were compared between the two groups.\n\nResults: The bone union occurred in 13\/13 (100%) cases in augmentative LISS group versus 9\/11 (81.8%) cases in augmentative LCP group [odds ratio (OR) &amp;frac14; 3.21, 95% confidence interval (CI) 0.7e13]. Time to union, time to renonunion, complication rate of the augmentative LCP group were significantly more than that of the augmentative LISS with autogenous BG group (p &amp;frac14; 0.023, p &amp;frac14; 0.021 and p &amp;frac14; 0.033). No significant difference was found in the average operation time of two groups (p &amp;frac14; 0.121). At the follow-up a year after hardware removal, statistically significant HRQOL improvement in the augmentive LISS group was measured at the level of pain (p &amp;frac14; 0.003) and general health perception (p &amp;frac14; 0.011), as compared to the augmentive LCP group.\n\nConclusions: We suggest augmentative LCP, for distal femoral nonunios after RIN, may be optimal for that of typeAO33A fractures, whereas augmentative LISS for that of typeAO33C fractures more.<\/jats:p>","DOI":"10.1016\/j.aott.2016.05.002","type":"journal-article","created":{"date-parts":[[2016,6,15]],"date-time":"2016-06-15T15:48:40Z","timestamp":1466005720000},"page":"393-399","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":3,"title":["Augmentative locking plate with autologous bone grafting for distal femoral nonunion subsequent to failed retrograde intramedullary nailing"],"prefix":"10.5152","volume":"50","author":[{"given":"Jiang-ying","family":"Ru","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yu","family":"Cong","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Dai","family":"Shi","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yang-hu","family":"Lu","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yun-fei","family":"Niu","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hai-dong","family":"Xu","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"3111","published-online":{"date-parts":[[2020,2,7]]},"reference":[{"key":"10.1016\/j.aott.2016.05.002_bib1","doi-asserted-by":"crossref","first-page":"349","DOI":"10.1016\/S0020-1383(02)00191-2","article-title":"Femoral exchange nailing for aseptic non-union: not the end to all problems","volume":"34","author":"Banaszkiewicz","year":"2003","journal-title":"Injury"},{"key":"10.1016\/j.aott.2016.05.002_bib2","doi-asserted-by":"crossref","first-page":"E60","DOI":"10.1097\/TA.0b013e318239caca","article-title":"Nonisthmal femoral shaft nonunion as a risk factor for exchange nailing failure","volume":"72","author":"Yang","year":"2012","journal-title":"J\u00a0Trauma Acute Care Surg"},{"key":"10.1016\/j.aott.2016.05.002_bib3","doi-asserted-by":"crossref","first-page":"1089","DOI":"10.1007\/s00264-010-1192-4","article-title":"Failed intramedullary nailing of femur: open reduction and plate augmentation with the nail in situ","volume":"35","author":"Said","year":"2011","journal-title":"Int Orthop"},{"key":"10.1016\/j.aott.2016.05.002_bib4","doi-asserted-by":"crossref","first-page":"89","DOI":"10.1097\/BOT.0b013e3181b8dafd","article-title":"The treatment of nonisthmal femoral shaft nonunions with im nail exchange versus augmentation plating","volume":"24","author":"Park","year":"2010","journal-title":"J\u00a0Orthop Trauma"},{"key":"10.1016\/j.aott.2016.05.002_bib5","doi-asserted-by":"crossref","first-page":"409","DOI":"10.3928\/01477447-20090511-12","article-title":"Augmentation plate fixation for the treatment of femoral and tibial nonunion after intramedullary nailing","volume":"32","author":"Birjandinejad","year":"2009","journal-title":"Orthopedics"},{"key":"10.1016\/j.aott.2016.05.002_bib6","doi-asserted-by":"crossref","first-page":"393","DOI":"10.3928\/01477447-20100429-18","article-title":"Dynamic compression plate and cancellous bone graft for aseptic nonunion after intramedullary nailing of femoral fracture","volume":"33","author":"Chen","year":"2010","journal-title":"Orthopedics"},{"key":"10.1016\/j.aott.2016.05.002_bib7","doi-asserted-by":"crossref","first-page":"84","DOI":"10.1097\/BOT.0b013e3181dfbb33","article-title":"Plate fixation of femoral nonunions over an intramedullary nail with autogenous bone grafting","volume":"25","author":"Hakeos","year":"2011","journal-title":"J\u00a0Orthop Trauma"},{"issue":"Suppl 2","key":"10.1016\/j.aott.2016.05.002_bib8","doi-asserted-by":"crossref","first-page":"S19","DOI":"10.1016\/S0020-1383(07)80005-2","article-title":"Definition and classification of fracture non-unions","volume":"38","author":"Fr\u00f6lke","year":"2007","journal-title":"Injury"},{"key":"10.1016\/j.aott.2016.05.002_bib9","doi-asserted-by":"crossref","first-page":"1179","DOI":"10.1016\/S0895-4356(98)00110-3","article-title":"Use of structural equation modeling to test the construct validity of the SF-36 Health Survey in ten countries: results from the IQOLA Project. International Quality of Life Assessment","volume":"51","author":"Keller","year":"1998","journal-title":"J\u00a0Clin Epidemiol"},{"key":"10.1016\/j.aott.2016.05.002_bib10","first-page":"859","article-title":"Exchange nailing for aseptic nonunion of femoral shaft: a retrospective cohort study for effect of reaming size","volume":"63","author":"Wu","year":"2007","journal-title":"J\u00a0Trauma"},{"key":"10.1016\/j.aott.2016.05.002_bib11","doi-asserted-by":"crossref","first-page":"937","DOI":"10.1007\/s00402-012-1497-4","article-title":"Augmentative locking compression plate fixation for the management of long bone nonunion after intramedullary nailing","volume":"132","author":"Ye","year":"2012","journal-title":"Arch Orthop Trauma Surg"},{"key":"10.1016\/j.aott.2016.05.002_bib12","doi-asserted-by":"crossref","first-page":"1820","DOI":"10.1016\/j.injury.2013.02.021","article-title":"Indications and outcomes of augmentation plating with decortication and autogenous bone grafting for femoral shaft nonunions","volume":"44","author":"Park","year":"2013","journal-title":"Injury"},{"key":"10.1016\/j.aott.2016.05.002_bib13","first-page":"640","article-title":"Augmentative plate fixation for the management of femoral nonunion after intramedullary nailing","volume":"43","author":"Ueng","year":"1997","journal-title":"J\u00a0Trauma"},{"key":"10.1016\/j.aott.2016.05.002_bib14","doi-asserted-by":"crossref","first-page":"83","DOI":"10.1111\/j.1757-7861.2011.00124.x","article-title":"Management of femoral diaphyseal nonunion after nailing with augmentative locked plating and bone graft","volume":"3","author":"Gao","year":"2011","journal-title":"Orthop Surg"},{"key":"10.1016\/j.aott.2016.05.002_bib15","first-page":"482","article-title":"Use of locking compression plates for long bone nonunions without removing existing intramedullary nail:review of literature and our experience","volume":"65","author":"Nadkarni","year":"2008","journal-title":"J\u00a0Traum"}],"container-title":["Acta Orthopaedica et Traumatologica Turcica"],"original-title":[],"link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S1017995X16300025?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S1017995X16300025?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/www.aott.org.tr\/index.php\/pub\/article\/download\/3146\/3098","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2025,11,18]],"date-time":"2025-11-18T20:01:35Z","timestamp":1763496095000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.aott.org.tr\/index.php\/pub\/article\/view\/3146"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,2,7]]},"references-count":15,"journal-issue":{"issue":"4","published-online":{"date-parts":[[2016,1,4]]}},"URL":"https:\/\/doi.org\/10.1016\/j.aott.2016.05.002","relation":{},"ISSN":["2589-1294","1017-995X"],"issn-type":[{"type":"electronic","value":"2589-1294"},{"type":"print","value":"1017-995X"}],"subject":[],"published":{"date-parts":[[2020,2,7]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Augmentative locking plate with autologous bone grafting for distal femoral nonunion subsequent to failed retrograde intramedullary nailing","name":"articletitle","label":"Article Title"},{"value":"Acta Orthopaedica et Traumatologica Turcica","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.aott.2016.05.002","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2016 Turkish Association of Orthopaedics and Traumatology. 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