{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,13]],"date-time":"2026-09-13T09:05:18Z","timestamp":1789290318001,"version":"build-2803163510"},"reference-count":0,"publisher":"Indian Orthopaedic Research Group","issue":"8","content-domain":{"domain":["jocr.co.in"],"crossmark-restriction":true},"short-container-title":["Jocr"],"published-print":{"date-parts":[[2026]]},"abstract":"<jats:p>Introduction: Non-union of long bone fractures after intramedullary nailing (IMN) remains a demanding clinical challenge. Augmentation plating \u2013 applying a supplementary plate over the retained nail \u2013 offers superior rotational control without the morbidity of nail extraction. This prospective study evaluated clinical, radiological, and functional outcomes of this technique for aseptic femoral and tibial non-unions.\n\nMaterials and Methods: Thirty patients with aseptic diaphyseal non-union of the femur or tibia underwent augmentation plating with selective autologous bone grafting (April 2024\u2013September 2025). Radiological healing was assessed by the modified Radiographic Union Score for Tibia (mRUST). Functional recovery was quantified by the lower extremity functional scale (LEFS) and Wu\u2019s criteria.\n\nResults: All 30 patients (17 femoral, 13 tibial) achieved radiological union, representing a 100% union rate. The mean time to union was 6.23 \u00b1 0.82 months (range 5\u20138 months). Femoral non-unions healed significantly faster than tibial non-unions (5.88 vs. 6.69 months; P = 0.005). The mean mRUST score improved from 5.17 \u00b1 0.79 preoperatively to 15.33 \u00b1 0.84 at final follow-up (P &lt; 0.001). Mean LEFS improved from 31.77 \u00b1 3.39 to 76.60 \u00b1 3.77 (P &lt; 0.001). By Wu\u2019s criteria, 60% achieved excellent and 30% achieved good results; no patient had a poor outcome. The complication rate was 10%, comprising two superficial infections managed conservatively and one deep infection managed with debridement, antibiotics, and implant retention; fracture union was achieved in all three.\n\nConclusion: Augmentation plating with selective autologous bone grafting delivers 100% union rates with predictable healing timelines and near-normal functional recovery in aseptic femoral and tibial non-unions. The technique is mechanically sound, biologically preserving, and operatively efficient\u2014making it a reliable first-choice revision strategy in this clinical setting.\n\nKeywords: Augmentation plating, femoral non-union, tibial non-union, intramedullary nail, locking compression plate, modified radiographic union score for tibia, lower extremity functional scale, Wu\u2019s criteria, bone grafting.<\/jats:p>","DOI":"10.13107\/jocr.2026.v16.i08.7896","type":"journal-article","created":{"date-parts":[[2026,8,8]],"date-time":"2026-08-08T10:53:03Z","timestamp":1786186383000},"page":"355-362","update-policy":"https:\/\/doi.org\/10.13107\/crossmark-policy","source":"Crossref","is-referenced-by-count":0,"title":["Augmentation Plating with Intramedullary Nailing for Aseptic Long Bone Non-union: A Prospective Observational Study of Clinical, Radiological, and Functional Outcomes"],"prefix":"10.13107","volume":"16","author":[{"given":"Deepak Singh","family":"Patel","sequence":"first","affiliation":[{"name":"Department of Orthopaedics, Gandhi Medical College and Hamidia Hospital, Bhopal, Madhya Pradesh, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rahul","family":"Verma","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics, Gandhi Medical College and Hamidia Hospital, Bhopal, Madhya Pradesh, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Vaibhav","family":"Jain","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics, Gandhi Medical College and Hamidia Hospital, Bhopal, Madhya Pradesh, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Manish Singh","family":"Rajpoot","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics, Gandhi Medical College and Hamidia Hospital, Bhopal, Madhya Pradesh, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ashish","family":"Dehare","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics, Gandhi Medical College and Hamidia Hospital, Bhopal, Madhya Pradesh, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Saurav","family":"Mukhopadhyay","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics, Gandhi Medical College and Hamidia Hospital, Bhopal, Madhya Pradesh, India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"5271","published-online":{"date-parts":[[2026]]},"container-title":["Journal of Orthopaedic Case Reports"],"original-title":[],"deposited":{"date-parts":[[2026,9,13]],"date-time":"2026-09-13T08:45:26Z","timestamp":1789289126000},"score":1,"resource":{"primary":{"URL":"https:\/\/jocr.co.in\/wp\/2026\/08\/augmentation-plating-with-intramedullary-nailing-for-aseptic-long-bone-non-union-a-prospective-observational-study-of-clinical-radiological-and-functional-outcomes\/"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026]]},"references-count":0,"journal-issue":{"issue":"8","published-online":{"date-parts":[[2026]]},"published-print":{"date-parts":[[2026]]}},"URL":"https:\/\/doi.org\/10.13107\/jocr.2026.v16.i08.7896","relation":{},"ISSN":["2321-3817"],"issn-type":[{"value":"2321-3817","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026]]},"assertion":[{"value":"Research Article","name":"content_type","label":"Content Type"},{"value":"Yes","name":"crosschecked","label":"CrossChecked"},{"value":"Yes","name":"peer_reviewed","label":"Peer Reviewed"},{"value":"10.13107\/jocr.2026.v16.i08.7896","name":"published","label":"Published"},{"value":"Creative Commons Attribution","name":"license","label":"License","explanation":{"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},"group":{"name":"rights","label":"Rights"}}]}}