{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,12]],"date-time":"2026-06-12T14:50:26Z","timestamp":1781275826295,"version":"3.54.1"},"reference-count":0,"publisher":"British Editorial Society of Bone & Joint Surgery","issue":"2","license":[{"start":{"date-parts":[[1997,3,1]],"date-time":"1997-03-01T00:00:00Z","timestamp":857174400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/online.boneandjoint.org.uk\/TDM"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["The Journal of Bone and Joint Surgery. British volume"],"published-print":{"date-parts":[[1997,3]]},"abstract":"<jats:p> We have treated 42 consecutive complex ununited fractures of the femoral shaft by wave-plate osteosynthesis at five different medical centres. There were 13 with previous infection, 12 with segmental cortical defects, and 3 were pathological fractures. In 39 cases there had been previous internal fixation and 21 patients had had more than one earlier operation. <\/jats:p><jats:p> Union was achieved in 41 patients at an average of six months, although three had required a second bone graft. Two patients had recurrence of infection and in one this resulted in the persistence of nonunion. There were no failures of the implant. All 41 patients with union are now fully weight-bearing, but four have a leg-length discrepancy, one has axial malalignment, and nine have residual stiffness of the knee. These results are surprisingly good, despite the complexity of the initial problem, and appear to confirm the biological and mechanical advantages of the wave plate over the conventional plate for such cases. <\/jats:p>","DOI":"10.1302\/0301-620x.79b2.0790289","type":"journal-article","created":{"date-parts":[[2018,2,21]],"date-time":"2018-02-21T11:52:30Z","timestamp":1519213950000},"page":"289-294","source":"Crossref","is-referenced-by-count":58,"title":["COMPLEX NONUNION OF FRACTURES OF THE FEMORAL SHAFT TREATED BY WAVE-PLATE OSTEOSYNTHESIS"],"prefix":"10.1302","volume":"79-B","author":[{"given":"D.","family":"Ring","sequence":"first","affiliation":[{"name":"Harvard Combined Orthopaedic Residency, ACC 527, 15 Parkman Street, Boston, Massachusetts 02114, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"J. B.","family":"Jupiter","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics, Massachusetts General Hospital, ACC 527, 15 Parkman Street, Boston, Massachusetts 02114, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"R. A.","family":"Sanders","sequence":"additional","affiliation":[{"name":"Alabama Sports Medicine and Orthopaedic Centre, 1201 11th Avenue South, Suite 200, Birmingham, Alabama 35205, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"J.","family":"Quintero","sequence":"additional","affiliation":[{"name":"Centro M\u00e9dico Almirante Colon, Carrera 16, No. 84A-09 [310], CO-Bogot\u00e1, Columbia."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"V. M.","family":"Santoro","sequence":"additional","affiliation":[{"name":"Hartford Hospital, Hartford, Connecticut, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"R.","family":"Ganz","sequence":"additional","affiliation":[{"name":"University Clinic, Inselspital, CH-3010 Berne, Switzerland."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rene K.","family":"Marti","sequence":"additional","affiliation":[{"name":"Academisch Medisch Centre, Meibergdreef 9, 1105 AZ Amsterdam, The Netherlands."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"42","container-title":["The Journal of Bone and Joint Surgery. British volume"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/online.boneandjoint.org.uk\/doi\/pdf\/10.1302\/0301-620X.79B2.0790289","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/online.boneandjoint.org.uk\/doi\/pdf\/10.1302\/0301-620X.79B2.0790289","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2021,8,16]],"date-time":"2021-08-16T19:25:53Z","timestamp":1629141953000},"score":1,"resource":{"primary":{"URL":"https:\/\/online.boneandjoint.org.uk\/doi\/10.1302\/0301-620X.79B2.0790289"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[1997,3]]},"references-count":0,"aliases":["10.1302\/0301-620x.79b2.6886"],"journal-issue":{"issue":"2","published-print":{"date-parts":[[1997,3]]}},"alternative-id":["10.1302\/0301-620X.79B2.0790289"],"URL":"https:\/\/doi.org\/10.1302\/0301-620x.79b2.0790289","relation":{},"ISSN":["0301-620X","2044-5377"],"issn-type":[{"value":"0301-620X","type":"print"},{"value":"2044-5377","type":"electronic"}],"subject":[],"published":{"date-parts":[[1997,3]]}}}