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Review Management of nonunion in trauma
- Source :
- Trauma. 6:225-247
- Publication Year :
- 2004
- Publisher :
- SAGE Publications, 2004.
-
Abstract
- Treatment of nonunion has radically changed in recent years. We define nonunion as a fracture of bone induced either by trauma or surgery which does not show clinical or radiographic signs of progression to healing within a reasonable time span. The reparative processes are present but inadequate. Fracture healing may be considered to be a balance between repair and breakdown processes at the fracture site. When breakdown exceeds repair, nonunion is the result. Altering the conditions at the fracture site even marginally in favour of repair will eventually lead to bony continuity being restored. Nonunion treatment should follow three principles: a) realignment; b) stabilization; and c) stimulation. Any surgical proce dure should address one or all of these areas. In this article the principles of nonunion management are explained, together with different bone healing stimulation techniques and our clinical results.
- Subjects :
- musculoskeletal diseases
medicine.medical_specialty
business.industry
Nonunion
Dentistry
Fracture site
030208 emergency & critical care medicine
Bone healing
Critical Care and Intensive Care Medicine
medicine.disease
Surgery
03 medical and health sciences
surgical procedures, operative
0302 clinical medicine
Emergency Medicine
medicine
030212 general & internal medicine
Bone transport
business
Fracture nonunion
Subjects
Details
- ISSN :
- 14770350 and 14604086
- Volume :
- 6
- Database :
- OpenAIRE
- Journal :
- Trauma
- Accession number :
- edsair.doi...........7260f1797b8034502c92b0a3ae0f1679