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Journal of Orthopaedic Trauma. 16(6):394-402, July 2002. Pihlajamaki, Harri K.; Salminen, Sari T.; Bostman, Ole M. Conclusions: Exchange nailing without extracortical bone grafting seems to be the most effective method to treat a disturbed union of a femoral shaft fracture after intramedullary nailing. Autogenous extracortical bone grafting alone proved to be insufficient. Dynamization predisposed to shortening of the bone.
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