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PS6 Comparison of locking compression plates and dynamic compression plates in the management of forearm fractures in adults
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Osteosynthese International 2013 – Poster Sessions / Injury, Int. J. Care Injured 44S2 (2013) S37–S46
limitation, resting, casting, drug medication or surgery. But there is limited data in the literature about kinesiotape application with exercise therapy. Therefore, the aim of this report is to investigate the effect of kinesiotape application together with exercise therapy for shin splints. Materials and Methods: We are reporting a 28 years old female patient who complaints from shin area pain which was at the distal third of the tibia affecting the activities of daily living. The patient is diagnosed as shin splints and treated with kinesiotape application together with exercise therapy. Visual Analogue Scale (VAS) and Lower Extremity Functional Scale (LEFS) were accessed before and after the treatment. Results: Severity of pain decreased from 100 to 40 according to VAS (0–100 mm) and LEFS (0–80) score increased from 27 to 72. Tenderness of shin area was completely recovered. The patient returned to normal activities of her daily life in one month. Conclusion: Shin Splints is a rare antity and when diagnosed; kinesiotaping can be thought as an alternative choice of supplementary treatment together with exercise therapy. Keywords: Shin Splints, Tape, Rehabilitation PS3 Treatment management after gunshot wounds of the hip 1 , M. Çobanoglu1 , V. Korkmaz1 . 1Adnan Menderes University, Ö. Savk ¸ Aydin, Turkey Introduction: Evaluation of the problems encountered after gunshot wounds in the hip. Patients: Four cases admitted to our hospital because of hip bullet injury between 2003 and 2012 were evaluated. Two of these cases were shotgun wounded and the others with a low-energy weapon. The first patient had a bullet in the hip joint. This patient had multiple organ injuries. Second case had two different region fractures that were femoral neck and body. This patient had multiple organ injuries. The third case had multiple fractures and bone loss in trochanteric region. However there was no additional organ injury. The fourth case had a femoral neck fracture and soft-tissue defect. This patient had additional organ injuries. Materials and Methods: Study Design: In the first case after the secondary organ injury were removed the bullet in the hip joint. Intramedullar nail was applied to second patient. This implant was removed from patient that had infection and aseptic necrosis of the femoral head. At the end of infection THA (total hip arthroplasty) was applied to patients that were treated with active infection. After third patient unioned THA was applied instead of aseptic femoral head. After five years this patient were performed THA on the lack of signs of infection. Large number of debridement and washing was performed to fourth patient for infection. Excision of the femoral head was performed to patient with aseptic necrosis of the femoral head. After six months active treatment of infection of the patient’s infection is gone. Results: In two patients who underwent arthroplasty surgical results were worse due to the development of infection. Person who removed bullet from the hip was detected infection in fluid the hip joint due to relationship between abdominal and acetabulum. Conclusion: Treatment of infection of the patient’s flow healed and improved laboratory.
symphysis pubis is a kind of pelvic injury which one pubic bone is jammed in the back of the other or opposite obturator foramen following lateral compression forces. Materials and Methods: In this article we present a case of locked symphysis pubis which treated by closed reduction using tubuler external fixator. Tubuler fixator device with compression bars was placed in both iliac wings under fluoroscopic assistance. The locking situation corrected by distracting pubic bones then the compression performed to close symphysis pubis. The device was fixed after the control of reduction under fluoroscopy. Results: After 6 weeks of bed rest and a week of full weight bearing mobilization patient’s tubuler fixator device was removed at the end of 7th week. Conclusion: We believe that tubuler external fixators are useful devices to perform closed reduction maneuvers for locked pelvic injuries and also help to reduce the need for open reduction as well as internal implant usage. PS5 Effects of 50 Hz electric field on bone tissue and fractures healing A. Aslan1 , N.H. Aydogan2 , T. Atay3 , V. Kirdemir3 , G. Cesur4 . 1Afyonkarahisar State Hospital, Department of Orthopaedics, Afyonkarahisar, 2Ankara Training and Research Hospital, Department uleyman Demirel University, Faculty of of Orthopaedics, Ankara, 3S¨ Medicine, Department of Orthopaedics and Traumatology, Isparta, 4Adnan Menderes University, Department of Physiology, Manisa, Turkey Introduction: In this experimental study, we aimed to investigate whether electric field (EF) at 50 Hz frequencies have an effect on bone healing and bone mineral density in rats. Materials and Methods: After obtaining the permission of the Ethics Committee, 30 adult male with an average weight 256 g WinstarAlbino rats were divided into two equal groups. Transverse fracture was created by pressing the finger on the right tibias of all rats and fractures were fixed with the plaster of Paris. Rats in Group-EA were exposed to EF at 50 Hz for 30 min a day for five days a week, whereas controls were kept under the same experimental conditions except EF exposure. The study has lasted for eight weeks. Sekizinci hafta sonunda tum ¨ sicanlara Dual Energy X-Ray Absorbsiometri (DEXA) ile sag proximal femur ve vertebra anteroposterior kemik dansitomnetri taramasi yapildi. At the end of the study on rats tibial fracture healing tissue radiological and histological examination was performed. Results: EA grubunda kontrol grubuna vertebra ve femur KMY ortalamalari daha dus ¨ uk ¨ olarak bulundu. Ancak bu fark istatistiksel olarak anlamli degildi (p >0.05). On the other hand, there was no difference between group-K and group-EA by means to histological and radiological scores (p >0.05). However, the mean group-EA score was lower than the controls. Conclusion: Electromagnetic radiation at 1800 Mhz of frequency emitted from cellular phones has not effect on bone fracture healing. Located in the high frequency emitted from cellular phones EMA’larin studies regarding the effect on other tissues as well as increasing use of mobile phone and the affected communities believe that because of the need for further studies on this issue.
PS4 Closed reduction and fixation of locked symphysis pubis using tubular external fixator 1 , A.S. Argun1 . 1Erciyes M. Halici1 , I. Karaman1 , I.H. Kafadar1 , A. Guney ¨ University Orthopaedics and Traumatology Department, Kayseri, Turkey
PS6 Comparison of locking compression plates and dynamic compression plates in the management of forearm fractures in adults I. Azboy1 , A. Demirtas1 , M. Bulut1 , B.Y. Ucar1 , C. Alemdar1 , M. Gem1 . 1Dicle University, Department of Orthopaedic Surgery, Diyarbakir, Turkey
Introduction: Pelvic injuries usually occur in young adults as a result of high-energy trauma such as motor vehicle accidents, falling from height, or more rarely occurs in older people with osteoporosis as a result of low-energy trauma such as falling while standing. Locked
Introduction: Our aim was to compare the results of the locking compression plate (LCP) and the dynamic compression plate (DCP) in the treatment of diaphyseal forearm fractures in adults, and the indications for the use of LCP.
Osteosynthese International 2013 – Poster Sessions / Injury, Int. J. Care Injured 44S2 (2013) S37–S46
Materials and Methods: We retrospectively analyzed 42 patients with a diaphyseal forearm fracture. Of these, 22 patients (17 males, 5 females, mean age: 28 years, range 16–74 years) were treated with LCP (LCP group) and 20 patients (14 males, 6 females, mean age: 32 years, range 16–69 years) were treated with DCP (DCP group). The AO/ASiF classification was used for the classification of the fractures. Patients were assessed by the Grace–Eversmann criteria and the DASH questionnaire during the final control. Results: The mean follow-up was 21 months in the LCP group and 23 months in the DCP group. Union was achieved in all patients in both groups. In the LCP group, the mean time to union was 15 weeks and in the DCP group it was 17 weeks (p >0.05). In each group, there was one case that had delayed union. According to the Grace– Eversmann criteria, in the LCP group, 16 patients had excellent, 4 patients had good, and 2 patients had acceptable results. In the DCP group, 14 patients had excellent, 5 patients had good, and 1 patient had acceptable results. The mean DASH score was in LCP group was 14 (range 5–34), whereas that of the DCP group was 18 (range 6–43). There was no significant difference between the two groups in terms of Grace–Eversmann criteria and the DASH scores (p >0.05). Conclusion: The results of these two different fixation methods for treatment of fractures of the forearm in adults are similar. The correct selection and application of the surgical technique is more important than the preferred type of the plate. PS7 A case of bilateral Galeazzi fractures in a child A. Demirtas1 , I. Azboy1 , M. Gem1 , N.S. Necmioglu1 . 1Department of Orthopaedics, Dicle University Medical Faculty, Diyarbakir, Turkey Introduction: A Galeazzi fracture is defined as a radius fracture accompanied by distal radioulnar joint (DRUJ) dislocation [1]. Bilateral Galeazzi fractures are extremely rare in children. The diagnosis of these fractures are often overlooked, leading to a delay in their treatment [1]. In our study, we are presenting a case of a 13 year of old male child with bilateral Galeazzi fracture. The child was initially not identified with DRUJ dislocation in radiographies performed at the time of his application to our clinic. Materials and Methods: The aim of our study is to present the case of a 13 year old boy with bilateral Galeazzi fracture, whose correct diagnosis was initially overlooked and treatment was delayed. In addition, we aim to emphasize the importance of clinical suspicion and physical examination under anesthesia in preventing Galeazzi fractures from being overlooked. Results: We are presenting a case of a 13 year of old male child with bilateral Galeazzi fracture. The child was initially not identified with DRUJ dislocation in radiographies performed at the time of his application to our clinic, and casting was performed above the elbow for the bilateral distal radius and ulnar fractures. The patient was eventually identified with bilateral DRUJ dislocation during followup. Then, closed reduction was applied on both dislocations, and casting was performed above the elbows in full supination. Bilateral Galeazzi fractures are extremely rare among children. Overlooking diagnosis and delays in treatment is a situation frequently encountered with these fractures. During radiological imaging, the position of the wrist may cause a reduction of the DRUJ dislocation, as a result of which the diagnosis of the fracture may be overlooked. Conclusion: Clinical suspicion and, if possible, physical examination under anesthesia might play an important role in preventing Galeazzi fractures from being overlooked.
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PS8 Traumatic inferior hip dislocation with ipsilateral femoral fracture: a rare case ¸ Mercan2 , A. Demirtas1 , M. Bulut1 . 1Dicle University, I. Azboy1 , A.S. Department of Orthopaedic Surgery, 2Gaziosmanpasa Safak Hospital, Diyarbakir, Turkey Introduction: A traumatic dislocation of the hip joint associated with an ipsilateral femoral shaft fracture is a rare injury resulting from severe trauma. Traumatic inferior dislocation of the hip joint in children is rare. We report a case of such dislocation and a review of the literature. The patient was a 10 years-old girl who was injured in a car accident. Materials and Methods: Radiographic examination showed inferior hip dislocation and transverse fracture of the ipsilateral femoral shaft. Results: The dislocation of the right hip was easily reduced with anaesthesia. Femoral fracture was treated with elastic intramedullary nailing. Walking with support and full weightbearing were permitted 4 weeks and 8 weeks after the injury, respectively. Radiography at 2 years after the injury showed a mildly enlarged right femoral head and femur overgrowth of approximately 8 mm. Magnetic resonance imaging showed no evidence of suspected avascular necrosis of the femoral head. The patient has no subjective or objective symptoms, and is able to engage in all usual activities. Conclusion: The detailed mechanism of the injury is unknown. We assume that the lower leg was dislocated through abduction during flexion, or abducent, external flexion. PS9 Is platelet-rich plasma injection an effective choice in cases of delayed union or non-union? 2 , M. Bulb F. Say1 , E. Turkeli ¨ ¨ ul ¨ 3 . 1Samsun OMU Department of Orthopaedics and Traumatology, 2Tekirdag Goverment Hospital, 3Istanbul Medipol University, Istanbul, Turkey Introduction: By the expression of several growth factors from activated thrombocytes, the application of platelet-rich plasma (PRP) stimulates angiogenesis thus stimulating recovery through cell differentiation. This study aimed to evaluate the effects of PRP injection on patients who had undergone surgery for fracture and in whom delayed union or non-union had been determined. Materials and Methods: The study comprised 20 patients (male 17, female 3; mean age 35.2±16 years) who had undergone lower extremity fracture surgery and were diagnosed with aseptic delayed union or non-union. Fourteen of the patients were operated on for femoral fracture and 6 patients for tibial fracture. Intramedullar nailing was used on 11 patients, plate and screws on 5 patients and external fixator on 4 patients. Blood taken from the patients was centrifuged to separate PRP, which was then activated by calcium chloride. The prepared PRP was injected into the fracture line under fluoroscopy guidance. The application of PRP was made at mean 7.2±4 months after fracture surgery. According to the Gustilo Anderson classification, 2 patients had Type 3 and 1 patient Type 1 open fracture. Six patients were cigarette smokers and 1 patient also had diabetes mellitus. All patients were followed-up with clinical examinations and radiographs over a mean period of 6.5±1.1 months. Results: Fracture union was achieved in 6 patients (30%) at mean 15.8±5.9 weeks. There was non-union of the fracture in 7 patients during the follow-up period and these 7 patients underwent revision surgery. Sufficient union was not determined radiologically and clinically in 7 patients. Conclusion: Fracture healing is a process affected by many factors. Although PRP has been reported in literature to be a biological treatment which increases healing, adequate healing was not determined in the patient group of the current study. Extensive
Osteosynthese International 2013 – Poster Sessions / Injury, Int. J. Care Injured 44S2 (2013) S37–S46
limitation, resting, casting, drug medication or surgery. But there is limited data in the literature about kinesiotape application with exercise therapy. Therefore, the aim of this report is to investigate the effect of kinesiotape application together with exercise therapy for shin splints. Materials and Methods: We are reporting a 28 years old female patient who complaints from shin area pain which was at the distal third of the tibia affecting the activities of daily living. The patient is diagnosed as shin splints and treated with kinesiotape application together with exercise therapy. Visual Analogue Scale (VAS) and Lower Extremity Functional Scale (LEFS) were accessed before and after the treatment. Results: Severity of pain decreased from 100 to 40 according to VAS (0–100 mm) and LEFS (0–80) score increased from 27 to 72. Tenderness of shin area was completely recovered. The patient returned to normal activities of her daily life in one month. Conclusion: Shin Splints is a rare antity and when diagnosed; kinesiotaping can be thought as an alternative choice of supplementary treatment together with exercise therapy. Keywords: Shin Splints, Tape, Rehabilitation PS3 Treatment management after gunshot wounds of the hip 1 , M. Çobanoglu1 , V. Korkmaz1 . 1Adnan Menderes University, Ö. Savk ¸ Aydin, Turkey Introduction: Evaluation of the problems encountered after gunshot wounds in the hip. Patients: Four cases admitted to our hospital because of hip bullet injury between 2003 and 2012 were evaluated. Two of these cases were shotgun wounded and the others with a low-energy weapon. The first patient had a bullet in the hip joint. This patient had multiple organ injuries. Second case had two different region fractures that were femoral neck and body. This patient had multiple organ injuries. The third case had multiple fractures and bone loss in trochanteric region. However there was no additional organ injury. The fourth case had a femoral neck fracture and soft-tissue defect. This patient had additional organ injuries. Materials and Methods: Study Design: In the first case after the secondary organ injury were removed the bullet in the hip joint. Intramedullar nail was applied to second patient. This implant was removed from patient that had infection and aseptic necrosis of the femoral head. At the end of infection THA (total hip arthroplasty) was applied to patients that were treated with active infection. After third patient unioned THA was applied instead of aseptic femoral head. After five years this patient were performed THA on the lack of signs of infection. Large number of debridement and washing was performed to fourth patient for infection. Excision of the femoral head was performed to patient with aseptic necrosis of the femoral head. After six months active treatment of infection of the patient’s infection is gone. Results: In two patients who underwent arthroplasty surgical results were worse due to the development of infection. Person who removed bullet from the hip was detected infection in fluid the hip joint due to relationship between abdominal and acetabulum. Conclusion: Treatment of infection of the patient’s flow healed and improved laboratory.
symphysis pubis is a kind of pelvic injury which one pubic bone is jammed in the back of the other or opposite obturator foramen following lateral compression forces. Materials and Methods: In this article we present a case of locked symphysis pubis which treated by closed reduction using tubuler external fixator. Tubuler fixator device with compression bars was placed in both iliac wings under fluoroscopic assistance. The locking situation corrected by distracting pubic bones then the compression performed to close symphysis pubis. The device was fixed after the control of reduction under fluoroscopy. Results: After 6 weeks of bed rest and a week of full weight bearing mobilization patient’s tubuler fixator device was removed at the end of 7th week. Conclusion: We believe that tubuler external fixators are useful devices to perform closed reduction maneuvers for locked pelvic injuries and also help to reduce the need for open reduction as well as internal implant usage. PS5 Effects of 50 Hz electric field on bone tissue and fractures healing A. Aslan1 , N.H. Aydogan2 , T. Atay3 , V. Kirdemir3 , G. Cesur4 . 1Afyonkarahisar State Hospital, Department of Orthopaedics, Afyonkarahisar, 2Ankara Training and Research Hospital, Department uleyman Demirel University, Faculty of of Orthopaedics, Ankara, 3S¨ Medicine, Department of Orthopaedics and Traumatology, Isparta, 4Adnan Menderes University, Department of Physiology, Manisa, Turkey Introduction: In this experimental study, we aimed to investigate whether electric field (EF) at 50 Hz frequencies have an effect on bone healing and bone mineral density in rats. Materials and Methods: After obtaining the permission of the Ethics Committee, 30 adult male with an average weight 256 g WinstarAlbino rats were divided into two equal groups. Transverse fracture was created by pressing the finger on the right tibias of all rats and fractures were fixed with the plaster of Paris. Rats in Group-EA were exposed to EF at 50 Hz for 30 min a day for five days a week, whereas controls were kept under the same experimental conditions except EF exposure. The study has lasted for eight weeks. Sekizinci hafta sonunda tum ¨ sicanlara Dual Energy X-Ray Absorbsiometri (DEXA) ile sag proximal femur ve vertebra anteroposterior kemik dansitomnetri taramasi yapildi. At the end of the study on rats tibial fracture healing tissue radiological and histological examination was performed. Results: EA grubunda kontrol grubuna vertebra ve femur KMY ortalamalari daha dus ¨ uk ¨ olarak bulundu. Ancak bu fark istatistiksel olarak anlamli degildi (p >0.05). On the other hand, there was no difference between group-K and group-EA by means to histological and radiological scores (p >0.05). However, the mean group-EA score was lower than the controls. Conclusion: Electromagnetic radiation at 1800 Mhz of frequency emitted from cellular phones has not effect on bone fracture healing. Located in the high frequency emitted from cellular phones EMA’larin studies regarding the effect on other tissues as well as increasing use of mobile phone and the affected communities believe that because of the need for further studies on this issue.
PS4 Closed reduction and fixation of locked symphysis pubis using tubular external fixator 1 , A.S. Argun1 . 1Erciyes M. Halici1 , I. Karaman1 , I.H. Kafadar1 , A. Guney ¨ University Orthopaedics and Traumatology Department, Kayseri, Turkey
PS6 Comparison of locking compression plates and dynamic compression plates in the management of forearm fractures in adults I. Azboy1 , A. Demirtas1 , M. Bulut1 , B.Y. Ucar1 , C. Alemdar1 , M. Gem1 . 1Dicle University, Department of Orthopaedic Surgery, Diyarbakir, Turkey
Introduction: Pelvic injuries usually occur in young adults as a result of high-energy trauma such as motor vehicle accidents, falling from height, or more rarely occurs in older people with osteoporosis as a result of low-energy trauma such as falling while standing. Locked
Introduction: Our aim was to compare the results of the locking compression plate (LCP) and the dynamic compression plate (DCP) in the treatment of diaphyseal forearm fractures in adults, and the indications for the use of LCP.
Osteosynthese International 2013 – Poster Sessions / Injury, Int. J. Care Injured 44S2 (2013) S37–S46
Materials and Methods: We retrospectively analyzed 42 patients with a diaphyseal forearm fracture. Of these, 22 patients (17 males, 5 females, mean age: 28 years, range 16–74 years) were treated with LCP (LCP group) and 20 patients (14 males, 6 females, mean age: 32 years, range 16–69 years) were treated with DCP (DCP group). The AO/ASiF classification was used for the classification of the fractures. Patients were assessed by the Grace–Eversmann criteria and the DASH questionnaire during the final control. Results: The mean follow-up was 21 months in the LCP group and 23 months in the DCP group. Union was achieved in all patients in both groups. In the LCP group, the mean time to union was 15 weeks and in the DCP group it was 17 weeks (p >0.05). In each group, there was one case that had delayed union. According to the Grace– Eversmann criteria, in the LCP group, 16 patients had excellent, 4 patients had good, and 2 patients had acceptable results. In the DCP group, 14 patients had excellent, 5 patients had good, and 1 patient had acceptable results. The mean DASH score was in LCP group was 14 (range 5–34), whereas that of the DCP group was 18 (range 6–43). There was no significant difference between the two groups in terms of Grace–Eversmann criteria and the DASH scores (p >0.05). Conclusion: The results of these two different fixation methods for treatment of fractures of the forearm in adults are similar. The correct selection and application of the surgical technique is more important than the preferred type of the plate. PS7 A case of bilateral Galeazzi fractures in a child A. Demirtas1 , I. Azboy1 , M. Gem1 , N.S. Necmioglu1 . 1Department of Orthopaedics, Dicle University Medical Faculty, Diyarbakir, Turkey Introduction: A Galeazzi fracture is defined as a radius fracture accompanied by distal radioulnar joint (DRUJ) dislocation [1]. Bilateral Galeazzi fractures are extremely rare in children. The diagnosis of these fractures are often overlooked, leading to a delay in their treatment [1]. In our study, we are presenting a case of a 13 year of old male child with bilateral Galeazzi fracture. The child was initially not identified with DRUJ dislocation in radiographies performed at the time of his application to our clinic. Materials and Methods: The aim of our study is to present the case of a 13 year old boy with bilateral Galeazzi fracture, whose correct diagnosis was initially overlooked and treatment was delayed. In addition, we aim to emphasize the importance of clinical suspicion and physical examination under anesthesia in preventing Galeazzi fractures from being overlooked. Results: We are presenting a case of a 13 year of old male child with bilateral Galeazzi fracture. The child was initially not identified with DRUJ dislocation in radiographies performed at the time of his application to our clinic, and casting was performed above the elbow for the bilateral distal radius and ulnar fractures. The patient was eventually identified with bilateral DRUJ dislocation during followup. Then, closed reduction was applied on both dislocations, and casting was performed above the elbows in full supination. Bilateral Galeazzi fractures are extremely rare among children. Overlooking diagnosis and delays in treatment is a situation frequently encountered with these fractures. During radiological imaging, the position of the wrist may cause a reduction of the DRUJ dislocation, as a result of which the diagnosis of the fracture may be overlooked. Conclusion: Clinical suspicion and, if possible, physical examination under anesthesia might play an important role in preventing Galeazzi fractures from being overlooked.
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PS8 Traumatic inferior hip dislocation with ipsilateral femoral fracture: a rare case ¸ Mercan2 , A. Demirtas1 , M. Bulut1 . 1Dicle University, I. Azboy1 , A.S. Department of Orthopaedic Surgery, 2Gaziosmanpasa Safak Hospital, Diyarbakir, Turkey Introduction: A traumatic dislocation of the hip joint associated with an ipsilateral femoral shaft fracture is a rare injury resulting from severe trauma. Traumatic inferior dislocation of the hip joint in children is rare. We report a case of such dislocation and a review of the literature. The patient was a 10 years-old girl who was injured in a car accident. Materials and Methods: Radiographic examination showed inferior hip dislocation and transverse fracture of the ipsilateral femoral shaft. Results: The dislocation of the right hip was easily reduced with anaesthesia. Femoral fracture was treated with elastic intramedullary nailing. Walking with support and full weightbearing were permitted 4 weeks and 8 weeks after the injury, respectively. Radiography at 2 years after the injury showed a mildly enlarged right femoral head and femur overgrowth of approximately 8 mm. Magnetic resonance imaging showed no evidence of suspected avascular necrosis of the femoral head. The patient has no subjective or objective symptoms, and is able to engage in all usual activities. Conclusion: The detailed mechanism of the injury is unknown. We assume that the lower leg was dislocated through abduction during flexion, or abducent, external flexion. PS9 Is platelet-rich plasma injection an effective choice in cases of delayed union or non-union? 2 , M. Bulb F. Say1 , E. Turkeli ¨ ¨ ul ¨ 3 . 1Samsun OMU Department of Orthopaedics and Traumatology, 2Tekirdag Goverment Hospital, 3Istanbul Medipol University, Istanbul, Turkey Introduction: By the expression of several growth factors from activated thrombocytes, the application of platelet-rich plasma (PRP) stimulates angiogenesis thus stimulating recovery through cell differentiation. This study aimed to evaluate the effects of PRP injection on patients who had undergone surgery for fracture and in whom delayed union or non-union had been determined. Materials and Methods: The study comprised 20 patients (male 17, female 3; mean age 35.2±16 years) who had undergone lower extremity fracture surgery and were diagnosed with aseptic delayed union or non-union. Fourteen of the patients were operated on for femoral fracture and 6 patients for tibial fracture. Intramedullar nailing was used on 11 patients, plate and screws on 5 patients and external fixator on 4 patients. Blood taken from the patients was centrifuged to separate PRP, which was then activated by calcium chloride. The prepared PRP was injected into the fracture line under fluoroscopy guidance. The application of PRP was made at mean 7.2±4 months after fracture surgery. According to the Gustilo Anderson classification, 2 patients had Type 3 and 1 patient Type 1 open fracture. Six patients were cigarette smokers and 1 patient also had diabetes mellitus. All patients were followed-up with clinical examinations and radiographs over a mean period of 6.5±1.1 months. Results: Fracture union was achieved in 6 patients (30%) at mean 15.8±5.9 weeks. There was non-union of the fracture in 7 patients during the follow-up period and these 7 patients underwent revision surgery. Sufficient union was not determined radiologically and clinically in 7 patients. Conclusion: Fracture healing is a process affected by many factors. Although PRP has been reported in literature to be a biological treatment which increases healing, adequate healing was not determined in the patient group of the current study. Extensive