Abstract

Background: Infected nonunion of femur is one of the most challenging complications, there are several treatment modalities as segment transfer and vascularized fibular graft but none of them was considered the gold standard as they are associated with complications including recurrence of infection and knee stiffness and complications of external fixation

Material:In our study we retrospectively reviewed thirty patients with femoral shaft infected non union.

Methods:patients were divided into two groups; sixteen patients were treated by single stage strategy and fourteen cases with two stage strategy.

Results:we compared between the two groups as regard: range of motion of nearby joints, time till full union, number of operations and associated complications.

Conclusion:Two stage strategies had better results as regard range of knee motion but higher risk of recurrence of infection.

Keywords

One stage, femoral non union, infection, external fixation, intramedullary nail, psychological impact, external fixation, patients, pre-anesthetic, spss, rom, drainage, non union, quadriceps muscle