WebWithin the context of an algorithmic and principle-based approach to nonunion there are several indications for hardware removal and/or revision including: 1. Infected hardware 2. Loose or failing hardware 3. Malaligned hardware … WebApr 29, 2024 · Infected nonunions are often treated with a two-stage surgical protocol including: aggressive surgical debridement with intraoperative cultures, temporary …
Nonunions - OrthoInfo - AAOS
WebAlthough definitions vary, infected nonunion has been defined as a state of failure of union and persistence of infection at the fracture site for 6 to 8 months.>).1 Infected nonunions … WebMar 6, 2024 · Oligotrophic nonunion: Use a combination of both internal fixation and biologic stimulation depending on the clinical situation Infected nonunion: Must obtain WBC, ESR, CRP, and nuclear bone scan. Intraoperative cultures are the gold standard for guided antibiotic therapy A 2-staged surgical treatment protocol is the gold standard metalogix sharepoint tools
Infected nonunion of tibia and femur treated by bone transport
WebIf the nonunion is infected, it usually requires removing the dead infected bone and growing back healthy bone. This can be accomplished by acutely (all at once) shortening the limb to eliminate the bone defect and then lengthening the bone at a different site, as described for limb lengthening. WebInfected nonunion of the long bones. The problems in infected nonunion include multiple sinuses, osteomyelitis, bone and soft tissue loss, osteopenia, adjacent joint stiffness, … WebNonunion is a serious complication of a fracture and may occur when the fracture moves too much, has a poor blood supply or gets infected. Patients who smoke have a higher incidence of nonunion. The normal process of bone … metalogix sharepoint