Algorithm 7- Tibial Non Union management
How
do you treat a tibial non union ?
Rule
out infection – infected tibial non uion treated as before like any other
infected non union in a long bone .
Electrical
Stimulation – 78 % success rate . ?
Hypertrophic
Non union
Rigid
internal fixation – compression plate, IM Rod or Ext. Fixator –
98 % Success rate
Bone
graft may not be necessary.
Atrophic
Non union
Rigid
internal fixation – Plate or IM ROD .
And
Bone grafting.
Tibial
Bone grafting – Posterolaterally , Anterior Central or Pecutaneous Bone marrow injection
Fibulectomy
may require in many non union .
Internal
Fixation
Plate
/ rod - Dynamically locked
Corrects
deformity
Plate
applied on convex side ( tension side )
Interfragmentary
lag screw technique with plate.
Not
used with infections .
Comments
Post a Comment