{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,5]],"date-time":"2026-06-05T04:18:21Z","timestamp":1780633101166,"version":"3.54.1"},"reference-count":34,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"4","license":[{"start":{"date-parts":[[2019,12,1]],"date-time":"2019-12-01T00:00:00Z","timestamp":1575158400000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"abstract":"<jats:title>Abstract<\/jats:title>\n          <jats:sec>\n            <jats:title>Objectives:<\/jats:title>\n            <jats:p>We report the radiographic and clinical outcome of patients treated with an angled blade plate (ABP) for hip fracture nonunion. We also provide a review of the literature on joint preserving treatment approaches to hip fracture nonunions.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Design:<\/jats:title>\n            <jats:p>Retrospective, case series.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Setting:<\/jats:title>\n            <jats:p>Tertiary academic hospital.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Patients\/Participants:<\/jats:title>\n            <jats:p>Three.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Intervention:<\/jats:title>\n            <jats:p>We treated three patients with varied hip fracture nonunions using a joint preserving approach with an ABP.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Main outcome measurements:<\/jats:title>\n            <jats:p>Radiographic union and clinical outcome.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Results:<\/jats:title>\n            <jats:p>All three patients achieved radiographic union, and were ambulating without pain at final follow-up.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Conclusions:<\/jats:title>\n            <jats:p>The treatment approach to hip fracture nonunions is either restorative (joint preserving) or reconstructive (joint replacing). The primary restorative approach to nonunions around the hip consists of revision open reduction and internal fixation with or without bone grafting. Though a variety of implants and treatment techniques have demonstrated excellent success in this setting, revision open reduction and internal fixation with an ABP remains an efficacious implant selection in hip nonunion surgery.<\/jats:p>\n          <\/jats:sec>","DOI":"10.1097\/oi9.0000000000000041","type":"journal-article","created":{"date-parts":[[2019,8,17]],"date-time":"2019-08-17T07:47:40Z","timestamp":1566028060000},"page":"e041","source":"Crossref","is-referenced-by-count":7,"title":["The utility of the angled blade plate in hip fracture nonunion treatment"],"prefix":"10.1097","volume":"2","author":[{"given":"Joshua M.","family":"Lawrenz","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Danielle C.","family":"Marshall","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Brendan M.","family":"Patterson","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2019,12]]},"reference":[{"key":"R1-20230823","doi-asserted-by":"crossref","first-page":"101","DOI":"10.5435\/00124635-200503000-00003","article-title":"Salvage of failed treatment of hip fractures","volume":"13","author":"Haidukewych","year":"2005","journal-title":"J Am Acad Orthop Surg."},{"key":"R2-20230823","doi-asserted-by":"crossref","first-page":"471","DOI":"10.1097\/BOT.0b013e3181acfc8c","article-title":"Salvage of failed hip fracture fixation","volume":"23","author":"Angelini","year":"2009","journal-title":"J Orthop Trauma."},{"key":"R3-20230823","doi-asserted-by":"crossref","first-page":"184","DOI":"10.1097\/01.blo.0000071753.41516.27","article-title":"Salvage of failed internal fixation of intertrochanteric hip fractures","author":"Haidukewych","year":"2003","journal-title":"Clin Orthop Relat Res."},{"key":"R4-20230823","doi-asserted-by":"crossref","first-page":"185","DOI":"10.1097\/00003086-200402000-00030","article-title":"Nonunion of fractures of the subtrochanteric region of the femur","author":"Haidukewych","year":"2004","journal-title":"Clin Orthop Relat Res."},{"key":"R5-20230823","doi-asserted-by":"crossref","first-page":"827","DOI":"10.1007\/s00264-011-1344-1","article-title":"Osteosynthesis of femoral-neck nonunion with angle blade plate and autogenous fibular graft","volume":"36","author":"Sen","year":"2012","journal-title":"Int Orthop."},{"key":"R6-20230823","doi-asserted-by":"crossref","first-page":"345","DOI":"10.4103\/0019-5413.185587","article-title":"Nonvascularized fibular grafting in nonunion of femoral neck fracture: a systematic review","volume":"50","author":"Tripathy","year":"2016","journal-title":"Indian J Orthop."},{"key":"R7-20230823","doi-asserted-by":"crossref","first-page":"410","DOI":"10.1097\/BOT.0000000000000030","article-title":"Indices affecting outcome of neglected femoral neck fractures after valgus intertrochanteric osteotomy","volume":"28","author":"Varghese","year":"2014","journal-title":"J Orthop Trauma."},{"key":"R8-20230823","doi-asserted-by":"crossref","first-page":"301","DOI":"10.5312\/wjo.v7.i5.301","article-title":"Valgus osteotomy for nonunion and neglected neck of femur fractures","volume":"7","author":"Varghese","year":"2016","journal-title":"World J Orthop."},{"issue":"(suppl 1)","key":"R9-20230823","doi-asserted-by":"crossref","first-page":"S46","DOI":"10.1097\/BOT.0000000000001087","article-title":"Generic preoperative planning for proximal femoral osteotomy in the treatment of nonunion of the femoral neck","volume":"32","author":"Mayo","year":"2018","journal-title":"J Orthop Trauma."},{"key":"R10-20230823","first-page":"329","article-title":"Intertrochanteric osteotomy using a dynamic hip screw for femoral neck nonunion","volume":"19","author":"Hartford","year":"2005","journal-title":"J Orthop Trauma."},{"key":"R11-20230823","doi-asserted-by":"crossref","first-page":"485","DOI":"10.1097\/00005131-200608000-00006","article-title":"Valgus osteotomy of the proximal femur with sliding hip screw for the treatment of femoral neck nonunions: the technique, a case series, and literature review","volume":"20","author":"Schoenfeld","year":"2006","journal-title":"J Orthop Trauma."},{"key":"R12-20230823","doi-asserted-by":"crossref","first-page":"312","DOI":"10.2106\/00004623-194931020-00009","article-title":"Blade-plate fixation in non-union and in complicated fractures of the supracondylar region of the femur","volume":"31A","author":"Altenberg","year":"1949","journal-title":"J Bone Joint Surg Am."},{"key":"R13-20230823","doi-asserted-by":"crossref","first-page":"953","DOI":"10.1007\/s00590-013-1267-1","article-title":"The use of the 95-degree-angled blade plate in femoral nonunion surgery","volume":"24","author":"Amorosa","year":"2014","journal-title":"Eur J Orthop Surg Traumatol."},{"key":"R14-20230823","doi-asserted-by":"crossref","first-page":"327","DOI":"10.1097\/BOT.0b013e318234d460","article-title":"Comparison of the 95-degree angled blade plate and the locking condylar plate for the treatment of distal femoral fractures","volume":"26","author":"Vallier","year":"2012","journal-title":"J Orthop Trauma."},{"key":"R15-20230823","doi-asserted-by":"crossref","first-page":"57","DOI":"10.1097\/00003086-200402000-00010","article-title":"Femoral neck nonunion treatment","author":"Mathews","year":"2004","journal-title":"Clin Orthop Relat Res."},{"key":"R16-20230823","doi-asserted-by":"crossref","first-page":"459","DOI":"10.1097\/BPB.0000000000000339","article-title":"Delayed treatment of femoral neck fractures in 58 children: open reduction internal fixation versus closed reduction internal fixation","volume":"25","author":"Ju","year":"2016","journal-title":"J Pediatr Orthop B."},{"key":"R17-20230823","doi-asserted-by":"crossref","first-page":"1969","DOI":"10.1016\/j.injury.2015.06.016","article-title":"Using a modified Pauwels method to predict the outcome of femoral neck fracture in relatively young patients","volume":"46","author":"Wang","year":"2015","journal-title":"Injury."},{"key":"R18-20230823","first-page":"83","article-title":"Salvage of failed treatment of femoral neck fractures","volume":"58","author":"Haidukewych","year":"2009","journal-title":"Instr Course Lect."},{"key":"R19-20230823","doi-asserted-by":"crossref","first-page":"1198","DOI":"10.1302\/0301-620X.96B9.33530","article-title":"Modified Pauwels\u2019 intertrochanteric osteotomy in the management of nonunion of a femoral neck fracture following failed osteosynthesis","volume":"96-B","author":"Magu","year":"2014","journal-title":"Bone Joint J."},{"issue":"(suppl 9)","key":"R20-20230823","first-page":"S78","article-title":"Results of surgical treatment of coxa vara in children: valgus osteotomy with angle blade plate fixation","volume":"97","author":"Chotigavanichaya","year":"2014","journal-title":"J Med Assoc Thai."},{"key":"R21-20230823","doi-asserted-by":"crossref","first-page":"782","DOI":"10.1302\/0301-620X.71B5.2584247","article-title":"Intertrochanteric osteotomy for non-union of the femoral neck","volume":"71","author":"Marti","year":"1989","journal-title":"J Bone Joint Surg Br."},{"key":"R22-20230823","doi-asserted-by":"crossref","first-page":"237","DOI":"10.1097\/BOT.0b013e31804cfdad","article-title":"Modified Pauwels\u2019 intertrochanteric osteotomy in neglected femoral neck fractures in children: a report of 10 cases followed for a minimum of 5 years","volume":"21","author":"Magu","year":"2007","journal-title":"J Orthop Trauma."},{"key":"R23-20230823","doi-asserted-by":"crossref","first-page":"1291","DOI":"10.1007\/s00264-009-0885-z","article-title":"Valgus intertrochanteric osteotomy with single-angled 130\u00b0 plate fixation for fractures and non-unions of the femoral neck","volume":"34","author":"Said","year":"2010","journal-title":"Int Orthop."},{"key":"R24-20230823","doi-asserted-by":"crossref","first-page":"312","DOI":"10.1097\/00005373-199902000-00019","article-title":"Treatment of femoral neck nonunions with a sliding compression screw: comparison with and without subtrochanteric valgus osteotomy","volume":"46","author":"Wu","year":"1999","journal-title":"J Trauma."},{"key":"R25-20230823","doi-asserted-by":"crossref","first-page":"464","DOI":"10.1097\/00005131-200208000-00004","article-title":"Free vascularized fibular bone grafting in the management of femoral neck nonunion in patients younger than fifty years","volume":"16","author":"LeCroy","year":"2002","journal-title":"J Orthop Trauma."},{"key":"R26-20230823","first-page":"169","article-title":"Revision internal fixation and nonvascular fibular graft for femoral neck nonunion","volume":"70","author":"Elgafy","year":"2011","journal-title":"J Trauma."},{"key":"R27-20230823","doi-asserted-by":"crossref","first-page":"899","DOI":"10.2106\/00004623-200305000-00019","article-title":"Hip arthroplasty for salvage of failed treatment of intertrochanteric hip fractures","volume":"85-A","author":"Haidukewych","year":"2003","journal-title":"J Bone Joint Surg Am."},{"key":"R28-20230823","doi-asserted-by":"crossref","first-page":"194","DOI":"10.1016\/j.injury.2005.09.011","article-title":"Salvage of failed dynamic hip screw fixation of intertrochanteric fractures","volume":"37","author":"Said","year":"2006","journal-title":"Injury."},{"key":"R29-20230823","doi-asserted-by":"crossref","first-page":"708","DOI":"10.1016\/j.injury.2017.01.042","article-title":"The treatment strategies of intertrochanteric fractures nonunion: an experience of 23 nonunion patients","volume":"48","author":"Xue","year":"2017","journal-title":"Injury."},{"key":"R30-20230823","doi-asserted-by":"crossref","first-page":"346","DOI":"10.1097\/00005131-200407000-00003","article-title":"The treatment of subtrochanteric nonunions with the long gamma nail: twenty-six patients with a minimum 2-year follow-up","volume":"18","author":"Barquet","year":"2004","journal-title":"J Orthop Trauma."},{"key":"R31-20230823","doi-asserted-by":"crossref","first-page":"203","DOI":"10.1016\/j.injury.2005.09.017","article-title":"Treatment of subtrochanteric nonunions","volume":"37","author":"de Vries","year":"2006","journal-title":"Injury."},{"key":"R32-20230823","doi-asserted-by":"crossref","first-page":"687","DOI":"10.1097\/01.bot.0000184141.52330.5e","article-title":"Treatment of unstable peritrochanteric femoral fractures using a 95 degrees angled blade plate","volume":"19","author":"Yoo","year":"2005","journal-title":"J Orthop Trauma."},{"issue":"(suppl 1)","key":"R33-20230823","doi-asserted-by":"crossref","first-page":"S26","DOI":"10.1097\/BOT.0000000000001201","article-title":"Use of the 95-degree angled blade plate to treat a proximal femur fracture","volume":"32","author":"Hartline","year":"2018","journal-title":"J Orthop Trauma."},{"key":"R34-20230823","doi-asserted-by":"crossref","DOI":"10.1097\/BOT.0000000000001426","article-title":"Orthogonal plating with a 95 degree blade plate for salvage of unsuccessful cephalomedullary nailing of atypic femur fractures: a technical trick","volume":"33","author":"Rollick","year":"2019","journal-title":"J Orthop Trauma."}],"container-title":["OTA International: The Open Access Journal of Orthopaedic Trauma"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.lww.com\/10.1097\/OI9.0000000000000041","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,8,23]],"date-time":"2023-08-23T03:09:06Z","timestamp":1692760146000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.lww.com\/10.1097\/OI9.0000000000000041"}},"subtitle":["A report of three cases and review of the literature"],"short-title":[],"issued":{"date-parts":[[2019,12]]},"references-count":34,"journal-issue":{"issue":"4","published-online":{"date-parts":[[2019]]}},"URL":"https:\/\/doi.org\/10.1097\/oi9.0000000000000041","relation":{},"ISSN":["2574-2167","2574-2167"],"issn-type":[{"value":"2574-2167","type":"print"},{"value":"2574-2167","type":"electronic"}],"subject":[],"published":{"date-parts":[[2019,12]]}}}