Treatment of Nonunion- Treatment
Author: Dimitrios Giotikas MD, PhD
The principles of treatment of nonunions basically include the optimization of the factor which caused the nonunion in the first place. If it has been diagnosed that the nonunion occurred because of inadequate stability across the fracture, then a revision of the fracture fixation to increase the stability may be indicated. If the main causative factor had been lack of blood supply then bone graft may be necessary. If infection is present, it must be controlled in order to efficiently treat the nonunion. Obviously, the methods by which these principles are applied, vary significantly depending in the actual location of the nonunion, the presence of implants and their type, the functional demands and comorbidities of the patient etc. The treatment plan is always tailored to each patient.