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Results for “FRACTURES, UNUNITED”

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At least 109 records · Page 6Linked to original sources
PubMed2007

Exchange nailing of ununited fractures.

Exchange nailing is most appropriate for a nonunion without substantial bone loss. There is no clear consensus regarding the use of exchange nailing in the presence of active, purulent infection. The exchange nail should be at least 1 mm larger in diameter than the nail being removed, and it has been recommended that it be up to 4 mm larger when the nail being removed was greatly undersized. Canal reaming should progress until osseous tissue is observed in the reaming flutes. Exchange nailing is an excellent choice for aseptic nonunions of noncomminuted diaphyseal femoral fractures, with union rates reported to range from 72% to 100%. On the basis of the available literature, exchange nailing cannot be recommended for distal femoral nonunions at this time. Exchange nailing is an excellent choice for aseptic nonunions of noncomminuted diaphyseal tibial fractures, with union rates reported to range from 76% to 96%. On the basis of the available literature, exchange nailing is generally not indicated for humeral nonunions.

Ankle Injuries↗
PubMed1990

Treating ununited fractures with electricity: nursing implications.

Not only are the elderly more susceptible to fractures because of a decrease in total bone content from osteoporosis, but the regeneration of injured bone may be prolonged as well. When a long bone fracture occurs in the elderly person, weightlessness and immobility result in further acceleration of bone loss. Because the success of pulsing electromagnetic field treatments depends on adherence to the treatment protocol, patient education is a key in nursing care. Although all fractures are a serious setback for the elderly person, those that do not heal properly require special considerations and the mobilization of many resources if the patient is to remain out of an institution.

Aged↗
PubMed1999

[The Matti-Russe method of treatment of ununited fractures of the scaphoid bone].

The authors present their experience with treatment of scaphoid non-unions by the operation according to Matti-Russe. They compare their results with those of other authors and present a relatively high number of successfully treated patients with stable non-unions localized in the midline of the scaphoid bone as well as a high patient satisfaction rate with this method of treatment. The disadvantage of this treatment is long-term cast immobilization of the wrist and poor results in treatment of unstable non-unions and those localized in the proximal portion of the scaphoid bone. They conclude, that at present, it is more effective to support the surgery by osteosynthesis with an adequate implant and thus shorten the immobilization period in a cast.

Adolescent↗
PubMed1975

[Results of bone homoplasty in ununited fractures, pseudarthroses and defects of the long tumular bones].

In the article, observations on application of bone homoplasty in 99 patients with unhealing fractures, pseudarthrosis and defects of long tumular bones are described. Homoplasty per se was performed in 22 cases, in combination with autoplasty--in 3, with metallic osteosynthesis--in 74. Tubular homografts were used in 14 cases, grafts in a kind of cortical plates--in 85. Postoperatively, the patients were followed within the terms up to 5 years. In 88 cases the results of surgery were satisfactory, in 11--poor. An analysis of the material concerned have shown that issues of bone homoplasty are greatly effected by the character of the graft, surgical technic and the state of a recipient bed.

Adult↗