Skip to main content

Non-Union

  • Chapter
  • First Online:
Current Orthopaedic Practice
  • 1703 Accesses

Abstract

This chapter covers etiology, types and management of nonunion. Management options for tibial bone loss are also described.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

eBook
USD 16.99
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 119.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD 169.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Similar content being viewed by others

Further Reading

  • Bosse MJ, MacKenzie EJ, Kellam JF, et al. A prospective evaluation of the clinical utility of the lower-extremity injury-severity scores. J Bone Joint Surg Am. 2001;83-A:3–14.

    Article  Google Scholar 

  • Court-Brown CM, Christie J, McQueen MM. Closed intramedullary tibial nailing. Its use in closed and type I open fractures. J Bone Joint Surg Br. 1990;72:605–11.

    Article  CAS  Google Scholar 

  • Friedlaender GE, Perry CR, Cole JD, et al. Osteogenic protein-1 (bone morphogenetic protein-7) in the treatment of tibial nonunions. J Bone Joint Surg Am. 2001;83-A(Suppl. 1):S151–8.

    Google Scholar 

  • Goldstein C, Sprague S, Petrisor BA. Electrical stimulation for fracture healing. Current evidence. J Orthop Trauma. 2010;24(Suppl 1):S62–5.

    Article  Google Scholar 

  • Govender S, Csimma C, Genant HK, et al. Recombinant human bone morphogenetic protein-2 for treatment of open tibial fractures: a prospective, controlled, randomized study of four hundred and fifty patients. J Bone Joint Surg Am. 2002;84-A:2123–34.

    Article  Google Scholar 

  • Griffin XL, Smith N, Parsons N, Costa ML. Ultrasound and shockwave treatment for acute fractures in adults. Cochrance Database Syst Rev. 2012;2:CD008579.

    Google Scholar 

  • Investigators SPERINPTF. Randomized trial of reamed and unreamed intramedullary nailing of tibial shaft fractures. J Bone Joint Surg Am. 2008;90:2567.

    Article  Google Scholar 

  • Keating JF, Simpson AHRW, Robinson CM. The management of fractures with bone loss. J Bone Joint Surg Br. 2005;87B:142–50.

    Article  Google Scholar 

  • MacKenzie EJ, Bosse MJ, Kellam JF, et al. Factors influencing the decision to amputate or reconstruct after high-energy lower extremity trauma. J Trauma. 2002;52:641–9.

    PubMed  Google Scholar 

  • Mitchell SE, Keating JF, Robinson CM. The treatment of open femoral fractures with bone loss. J Bone Joint Surg Br. 2010;92(12):1678–84.

    Article  CAS  Google Scholar 

  • Mora R, Paley D. Nonunion of the long bones: diagnosis and treatment with compression distraction techniques. Cham: Springer; 2006.

    Book  Google Scholar 

  • Paley D. Treatment of tibial nonunion and bone loss with the Ilizarov technique. Instr Course Lect. 1990;39:185–97.

    CAS  PubMed  Google Scholar 

  • Sharrard WJ. A double-blind trial of pulsed electromagnetic fields for delayed union tibial fractures. J Bone Joint Surg Br. 1990;72:347–55.

    Article  CAS  Google Scholar 

  • Templeman D, Thomas M, Varecka T, Kyle R. Exchange reamed intramedullary nailing for delayed union and nonunion of the tibia. Clin Orthop Relat Res. 1995;315:169–75.

    Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2022 Springer Nature Switzerland AG

About this chapter

Check for updates. Verify currency and authenticity via CrossMark

Cite this chapter

Agarwal, S. (2022). Non-Union. In: Agarwal, S. (eds) Current Orthopaedic Practice. Springer, Cham. https://doi.org/10.1007/978-3-030-78529-1_10

Download citation

  • DOI: https://doi.org/10.1007/978-3-030-78529-1_10

  • Published:

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-030-78528-4

  • Online ISBN: 978-3-030-78529-1

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics