Table 2 Reintervention for inter- and sub-trochanteric femoral non-unions

Haidukewych [29]

2003

20

58

Blade plate(11), DHS (5), DCS (3), Cephalomedullary nail (1)

Autograft (17), allograft (3)

95% (19/20) TTU = n/a

16/19 w/o pain 0 AVN

27

Said [30]

2006

26

61

DHS (8), DHS + VSTO (6), blade plate + VSTO (4), THA (3), endoprosthesis (5)

None

100% (18/18) TTU = 4

16/18 w/o pain, 2/18 occasional pain 1 AVN

31

Xue [31]

2017

23

60

DHS(3), Cephalomedullary nail (9) proximal locking plate (3) THA (4) antibiotic rod staged to proximal locking plate (4)

Iliac crest autograft (6) None (13)

100% (19/19) TTU = 4,7

HHS: 28,9 (pre-op) to 83,8 (post-op)

16

Lawrenz [32]

2019

2

64

95° blade plate (2)

None (2)

100% (2/2)

TTU = n/a

First revision 95° blade plate (1) 130° blade plate (1)

Second revision 130° blade plate (1) 2/2 no pain at 12 months post-op FU

36

Haidukewych [33]

2004

21

55

Cephalomedullary nail (8) Standard anterograde IMN (7) 95° blade plate (5) DHS (1) 95° DCS (1) dual large-fragment plates (1)

Autograft (8)

Allograft (6)

Both (3)

Free vascularized fibula (1)

95% (20/21)

TTU = n/a

16/20 with no pain

4/20 mild pain

12

Barquet [34]

2004

26

63

Long gamma cephalomedullary nail

Autograft (5)

None (21)

96% (25/26)

TTU = 7

21/26 restored to preinjury functional status

27

De vries [17]

2006

33

57

95° blade plate (24)

100–125° blade plate (7)

90°blade plate (2)

Iliac crest autograft (13)

Local bone graft (1)

DBX (10)

97% (32/33)

TTU = 5

25/33 good or excellent Merle d’Aubigne score

5 complications requiring reoperation

31

Park [35]

2011

16

58

Blade plate (16)

Iliac crest autograft (1/14)

94% (15/16)

TTU = 7

Revision:

THA for AVN and mechanical failure (1)

1/14 great trochanter bursitis

12/14 no pain

HHS: 88 (12 months post-op)

Sanders functional rating scale: 14/16 (88%) good or excellent

24

Giannoudis [13]

2013

14

65

95° blade plate (11)

IMN (3)

RIA graft (14)

Osteoinductive factor (Osigraft Olympus) (14)

MSCs from the iliac crest (14)

93% (13/14)

TTU = 7

8/14 no complications

2/14 died during follow up

1/14 revision to double plate construct

1/14 pulmonary embolism

1/14 below knee deep vein thrombosis

16 failures, of which 11 were from the infected group

26

Amorosa [36]

2014

71 (57 non-infected non-unions, 21 infected non-unions)

60

95° blade plate (71)

n/a

91,2% in the not infected group

TTU = 6

24

Rollo [27]

2016

35

72,4

blade plate (35)

Femoral medial strut allograft (22)

None (13)

100% (22/22) in the strut allograft group

TTU = 8

69% (9/13) in no allograft group

TTU = 10

HHS for allograft group: 18.3 (pre-op)

85.3 (post-op)

HHS for no allograft group

17.9 (pre-op)

83.2 (post-op)

12

De Biase [37]

2018

2

72

Blade plate (2)

None (2)

100% (2/2)

TTU = 6

n/a

36