Table of Contents
How do you fix a malunion fracture?
How is a Fracture Malunion Treated? A surgical procedure can help reverse severe cases of malunion and ensure correct fracture healing. Osteotomy, an orthopedic surgical procedure, is commonly used to realign the bones in the correct position. The procedure may involve shortening or lengthening before the realignment.
What is the treatment of malunion?
Treatment for a malunion in the lower limb often involves surgery to correct the alignment of the fractured bone and improve function in the involved leg. The major bones of the lower limb include the femur (thighbone) and tibia (shinbone).
Can a malunion be fixed without surgery?
Malunion treatment Some malunion fractures do not require surgery or treatment because there is not reduced function from the injury. However, if the broken bone positioning is damaging, surgical treatment may be necessary for a return to a normal functional lifestyle.
Which of the following can also be used as a treatment for non union?
Atrophic nonunion Atrophic non-unions can be treated by stimulating blood flow and encouraging healing. This is often done surgically by removing the end layer of bone to provide raw ends for healing and the use of bone grafts.
What is malunion of a fracture?
“Malunion” is a clinical term used to indicate that a fracture has healed, but that it has healed in less than an optimal position. This can happen in almost any bone after fracture and occurs for several reasons. Malunion may result in a bone being shorter than normal, twisted or rotated in a bad position, or bent.
What can cause nonunion fracture?
Causes for non-healing or non union fracture include:
- Infection at the site of the fracture.
- Inadequate blood supply to the bone.
- Separation of the ends of the bone (during surgery or after surgery)
- Inadequate surgical stabilization of the bone.
What causes fracture malunion?
The causes of a malunion are broad, but most often it’s the result of not seeking medical treatment soon enough after a fracture (or not seeking it at all), removing a cast or other immobilizing tool too early, or not aligning bones properly during the immobilization process.
What is malunion and nonunion?
A malunion occurs when a fractured bone heals in an abnormal position, which can lead to impaired function of the bone or limb and make it look like it is ‘bent’. Similarly, a nonunion is the result of a fractured bone failing to heal after an extended period of time – in some cases over a period of 9 to 12 months.
What causes a malunion?
Do non union fractures require surgery?
Most nonunions require surgery. Surgical treatment of nonunion is usually focused on three goals: Establishing a healthy vascular area of bone and soft tissue around the fracture site. This is accomplished by removal of any poorly dead bone or poorly vascularized tissue or scar from the fracture site.
How can you reduce a fracture?
How Fractures Are Reduced
- More severe fractures may require an open reduction. This is a surgical procedure called an open reduction internal fixation (ORIF).
- Another way to reduce and stabilize a fracture is by the use of percutaneous pins.
- Typically fractures require a period of immobilization during healing.
What is fracture malunion?
After a bone is broken (fractured), the body will start the healing process. If the two ends of the broken bone are not lined up properly, the bone can heal with a deformity called a malunion. A malunion fracture occurs when a large space between the displaced ends of the bone have been filled in by new bone.
What is a malunion fracture and how is it treated?
When your hand, leg, or any other bone in your body is fractured, and somehow if the bone is twisted or bent while healing, a malunion may occur. During treatment, if the bones are not aligned in the proper direction, a malunion may occur. A malunion fracture is different from the nonunion fracture.
How do you repair a nonunion fracture?
To repair a nonunion, orthopaedic surgeons may aim to: Restore damaged bones and tissues around the nonunion. Fill bone gaps with plates and stabilize the bone. Stimulate bone healing using bone-grafts.
What are the treatment options for nonunions?
Non-surgical treatment options for nonunions may include electric stimulation or bracing. To repair a nonunion, orthopaedic surgeons may aim to: Restore damaged bones and tissues around the nonunion. Fill bone gaps with plates and stabilize the bone. Stimulate bone healing using bone-grafts.
Do you need surgery for malunion?
Cases of malunion do not always require treatment because some will not cause impaired functioning. But if the altered bone positioning is significant and damaging, it often requires surgical treatments to allow for future mobility. Surgical procedures can help realign severe cases of malunion.