Journal of the Korean Fracture Society  2017;30(2):89-101

doi:10.12671/jkfs.2017.30.2.89

Treatment Options for the Nonunions with Critical Sized Bone Loss.

Jin Kak KIM 1 ; Soo Hyun KIM ; Jae Woo CHO ; Jong Keon OH

Affiliations

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Keywords

Nonunion; Bone loss

Country

Republic of Korea

Language

Korean

Abstract

The management of nonunion with severe bone loss is a challenging task to both surgeons and patients. It often requires prolonged and potentially painful treatments. Moreover, it also represents serious socioeconomic issues for patients. Inadequate fracture stability, disrupted biology, such as blood supply and soft tissue, as well as severe bone loss or presence of infection are possible reasons for nonunion. Several different treatment modalities are available, including nail dynamization, plate osteosynthesis, exchange nailing, and adjuvant alternatives, such as electrical or ultrasound stimulation. Autogenous bone graft remains the standard method to reconstruct small defects. Distraction osteogenesis and induced membrane techniques are contemporary strategies of choice for the reconstruction of larger bony defects. Herein, we attempt to describe the key techniques that may be employed in treating nonunion with severe bone loss.