Risk factors for long bone fracture non-union: a stratification approach based on the level of the existing scientific evidence

Injury ◽  
2015 ◽  
Vol 46 ◽  
pp. S8-S19 ◽  
Author(s):  
Emmanuele Santolini ◽  
Robert West ◽  
Peter V. Giannoudis
Injury ◽  
2020 ◽  
Vol 51 (8) ◽  
pp. 1693-1695
Author(s):  
George D. Chloros ◽  
Anthony Howard ◽  
Vincenzo Giordano ◽  
Peter V. Giannoudis

Author(s):  
Srinivas Balagani

<p class="abstract"><strong>Background:</strong> Increased road traffic accidents lead to increased incidence of fracture of long bones. It has a tendency of non-union. Infection is very common in these cases which are an important cause of nonunion of long bone fractures. The objective of the study was to study the incidence and patterns of non-union of long bone fracture.</p><p class="abstract"><strong>Methods:</strong> Hospital based prospective study was carried out at Department of Orthopedics, from June 2017 to March 2018. Patients admitted to wards of Department of Orthopedics with nonunion of long bones were included. During the study period a total of 20 cases were eligible for the present study as per the inclusion and exclusion criteria.<strong></strong></p><p class="abstract"><strong>Results:</strong> Males were more affected than females. Most commonly affected age group was 41-50 years and 61-70 years (25% each). Most commonly affected long bone was femur in 35% of the cases. Most common type of non-union was hypertrophic (50%). Most common cause of non-union was broken implant in 35% of the cases. Maximum number of patients had union in 4-6 months in 60% of the cases after surgery of previous non-union of long bones. Only four patients developed complications like shortening of the limb or persistent non-union.</p><p class="abstract"><strong>Conclusions:</strong> Hypertrophic non unions doesn’t require bone graft, they require only stable fixation. For removal of broken implant in hypertrophic non-union if we open the fracture site, then even the gap after debridement of fracture site shows partial segmental defect it doesn’t require bone grafting.</p>


2016 ◽  
Vol 22 (Suppl 2) ◽  
pp. A283.1-A283
Author(s):  
Christina L Ekegren ◽  
Belinda J Gabbe ◽  
Elton R Edwards ◽  
Richard de Steiger ◽  
Richard Page

2017 ◽  
Vol 4 (4) ◽  
Author(s):  
K. Harish Chandra Reddy ◽  
Puli Santosh Reddy ◽  
P. Kishan

Background: Depression is likely to affect the outcome of the patients with long bone fractures. It also affects the duration of stay post operatively and seeks more medical attention than in normal patients. Objective: To assess depression and its risk factors among patients with long bone fracture in Karimnagar district of Telangana Methods: Nature of the study was descriptive and design of the study is prospective and cross sectional in orthopedic Department of the teaching hospital. Population for the study was patient including inpatients and out patients of orthopedic department in follow up. Sample size 50 was selected for the further statistical analysis in the present study. Data was collected from patients and informants from orthopedic Department. Results: 60% patients had fractures in the lower limb. 53% patients had fractures of the right limb. 90% patients were with closed fractures. 89% patients underwent surgical management. Age, Type of Family, Type of Fracture and Type of Treatment were found to be significantly associated factors with Depression. (p < 0.05) Conclusion: Depression was common among patients undergoing orthopedic surgery for fracture of long bones. Depression was significantly associated with age, type of family, type of fracture and type of treatment.


Injury ◽  
2020 ◽  
Vol 51 ◽  
pp. S55-S62 ◽  
Author(s):  
Enrique Gómez-Barrena ◽  
Norma G. Padilla-Eguiluz ◽  
Eduardo García-Rey ◽  
Pablo Hernández-Esteban ◽  
José Cordero-Ampuero ◽  
...  

2016 ◽  
Vol 19 (7) ◽  
pp. A916 ◽  
Author(s):  
S Dunlop ◽  
CL Ekegren ◽  
ER Edwards ◽  
R de Steiger ◽  
R Page ◽  
...  

2021 ◽  
Vol 28 ◽  
pp. 39-46
Author(s):  
Ina Lackner ◽  
Birte Weber ◽  
Melanie Haffner-Luntzer ◽  
Simona Hristova ◽  
Florian Gebhard ◽  
...  

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