Surgical treatment for un-united bony fractures by modified phemister bone grafting

Abstract

Bone grafting, a complicated surgical procedure which substitute mislaid bony particles in fractures. Delayed union and non-union of bony fractures represented with a broad spectrum of clinical significance. Modified phemister and combination of petal technique of Jarry and Uhthoff has important advantages in treating complex non-unions of long bones. This study was designed to assess modified phemister bone grafting role in delayed union and non-union of fractures of long bones. A total 30 cases with delayed and non-union of tibial shaft fractures attended the outpatient department were recruited for this study. Majority cases were in age group between 25-40 years (80%). Maximum time duration between injury and grafting was 32 weeks and minimum was 14 weeks. Duration between graft and union was 20.24 weeks, and between injury and clinical union was 41.77 weeks. The average duration to change the cast was 7.1 weeks (1st cast), 12.4 weeks (2nd cast) and 13.8 weeks (3rd cast). The success rate in this study was 93.20% and poor outcome was observed in 2 cases. To treat the fractures in long bones, modified phemister and combination of petal technique of Jarry and Uhthoff are ideal methods to treat delayed and non-union of fractures of long bones. Both the techniques are short, safer and less time consuming.

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