Femoral Shaft Non-unions: Exchange Nailing

  • Peter V. Giannoudis
  • Fragkiskos N. Xypnitos


Femoral shaft non-union following prior intramedullary nailing.

Exchange nailing has been shown to be successful for the treatment of both atrophic and hypertrophic non-unions.


Femoral Shaft Image Intensifier Intercondylar Notch Medullary Canal Soft Tissue Contraction 
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Further Reading

  1. Brinker MR, O’Connor DP. Exchange nailing of ununited fractures. J Bone Joint Surg Am. 2007;89:177–88.PubMedCrossRefGoogle Scholar
  2. Shroeder JE, Mosheiff R, Khoury A, Liebergall M, Weil YA. The outcome of closed, intramedullary exchange nailing with reamed insertion in the treatment of femoral shaft nonunions. J Orthop Trauma. 2009;23(9):653–7.PubMedCrossRefGoogle Scholar
  3. Wu CC. Exchange nailing for aseptic nonunion of femoral shaft: a retrospective cohort study for effect of reaming size. J Trauma. 2007;63:859–65.PubMedCrossRefGoogle Scholar

Copyright information

© Springer-Verlag London Limited 2011

Authors and Affiliations

  1. 1.Academic Department of Trauma and Orthopaedic Surgery, School of MedicineUniversity of LeedsLeedsUK
  2. 2.Department of Trauma and Orthopaedics SurgeryLeeds Teaching Hospitals NHS TrustLeedsUK

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