Indian Journal of Orthopaedics Surgery


Epidemiology and operative management of non-union in long bones


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Author Details: Lamture Deepak R, Burande VG

Volume : 3

Issue : 1

Online ISSN : 2395-1362

Print ISSN : 2395-1354

Article First Page : 18

Article End Page : 22


Abstract

Introduction: Non-union is a serious complication of fracture. Management of non-union has remained a constant challenge. The associated bone defect, shortening, deformity and infection complicate the management. Present study was designed to assess the utility of various available modalities of treatment for non-union in long bones.
Material and Methods: 59 patients of non-union of long bones admitted in orthopaedic ward during the period of January 2009 to 2011 were included in a prospective study. Maximum patients 25 (45.45%) were having non-union of tibia followed by femur seen in 12 (21.81%). Detailed history, clinical and radiological examination was conducted. Diagnosis was confirmed and suitable plan of treatment was formulated and undertaken.
Results: Results were excellent to good in 59.24% of cases, satisfactory in 37% and poor in 3.7% of cases.
Conclusion: Incidence of non-union is increasing gradually. Two commonest bones involved are tibia and femur. Open reduction and internal fixation after freshening of bone ends and autologous bone grafting is the commonest mode of treatment in non-union management.

Keywords:
Non-union, Long bones, Epidemiology