Radiological union analysis of femoral shaft aseptic nonunion after failed plate and screw convert to reaming intramedullary solid locking nail

Background: Non-united fracture shaft of the femur after plate fixation is a common problem. Management this problem still controversial. There are many methods for treating femoral aseptic nonunions with broken implant which conversion to reaming solid intramedullary nail one procedures. However, reported success rate varies. This study aimed evaluate bone healing, especially callus formation, radiologically nonunion reconstruction using nailing reamingMethod: cross-sectional retrospective case analysis presenting 22 patients patient's age was 15 50 years old who underwent operation procedures managed by removing hardware and converting locking or without autogenous iliac graft at least six months. The healing process assessed serial plain radiography every weeks Callus Index method.Results: Conversion gives union 95%. Among patients, patient persisted in nonunion, two experience delayed union. index Fracture location (P=0,043) significantly affected formation (P<0.05); location, whereas classification (P=0,365), type (P=0,398), (P=0,510) did not affect (P>0.05). no significant difference time between graft. Proximal third affects No complications were noted.Conclusion: Nonunion both types Solid achieves