Prof. Dr. Mehmet İşyar – Ortopedi ve Travmatoloji Doktoru

Non-union Bone Fractures

Mehmet İşyar, M.D. Prof

Nonunion refers to a condition in which a bone fracture does not heal normally. Ideally, a bone fracture should fuse and reunite over time, but sometimes this process can run into problems and the fracture may not fuse. Fracture nonunion can occur for many different reasons, including infections, poor circulation, poor fracture alignment or factors such as smoking.

Treatment for fracture nonunion often varies depending on the cause and location of the fracture. Treatment options may include:

1. **Surgical Intervention:** Depending on the cause or location of the fracture, a surgical procedure may be required. Surgery can ensure proper union of the fracture and correct alignment of the bone. During this procedure, the ends of the fracture are cleaned and properly joined. In case of fracture nonunion, bone grafts (bone tissue transplantation), metal plates or nails may be used.

2. **Medication Therapy:** In cases of fracture nonunion due to infection, antibiotics may be used.

3. **Physical Therapy:** Physical therapy can be used to strengthen the muscles and restore mobility in case of bone nonunion.

4. **Extracorporeal Shock Wave Therapy (ESWT):** This treatment uses sound waves to treat fracture nonunion. This method is used in some cases to promote fracture union.

5. **Bone Growth Stimulants:** Special medications or devices can be used to stimulate bone growth.

6. **Smoking:** Smoking can increase the risk of bone nonunion, so patients who smoke may be advised to quit smoking.

Treatment of fracture nonunion can be complex and may differ depending on the patient’s condition, the type of fracture and the cause. The treatment plan should be determined by an orthopaedic specialist or bone specialist. The treatment is designed to speed up the patient’s healing process and promote the union of the fracture. Therefore, it is important that people suffering from fracture nonunion act in accordance with expert advice and treatment recommendations.

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