Aug 21, 2024 · most commonly, inadequate fracture stabilization and poor blood supply lead to nonunion infection eradication needs to occur along with the achieving fracture union

Cultures should be incubated for at least two weeks to ensure capture of indolent organisms. Adequate debridement, removal of hardware and obtaining cultures to tailor antibiotic therapy will help increase the likelihood of infection eradication and successful nonunion treatment.

Healing of 3 out of 4 cortices without pain is typically considered union. Radionuclide Scanning – Infected Nonunion? Labeled Leukocyte Scan – Infected Nonunion? MRI – Infected Nonunion? What are the patient’s goals and needs? 1. Direct current - implantation of …

Infected nonunions of the supracondylar region of the femur are uncommon and are mostly due to a severe open fracture with extensive comminution and segmental bone loss or after internal fixation of a comminuted closed fracture.

Infected nonunion may be a limb-threatening complication. Significant progress has been made in the management of infected nonunion in the last decade. There are clear guidelines for pre-operative evaluation and treatment strategy. The recommended strategy is the ‘infection-elimination first’ strategy.

An infection of a fractured bone is called an “infected nonunion”. Infected nonunions are extremely difficult and time consuming to treat. Usually, the first priority is to get rid of the infection.

Nov 1, 2015 · Infected non-union is a devastating complication post fracture fixation. While its incidence is small, its management is lengthy, challenging and costly. Complex reconstruction surgery is often required with unpredictable outcomes despite the significant advances that have been made in diagnostics, surgical techniques and antibiotic protocols.

Although uncommon in incidence, infected nonunions of the long bones present a great challenge to the orthopaedic surgeon in providing optimal treatment of this entity. To give direction to the optimal strategy, this systematic review was performed.

Infected nonunions remain one of the most challenging clinical problems in the field of Orthopedic Surgery. As the name implies, the fracture site has refused to heal and the bone and surrounding soft tissues are infected.

Nov 1, 2015 · The management goals in the case of infected non-union include (a) the eradication of the infection; (b) the completion of bony union; (c) the restoration of bone length and alignment; and eventually (d) the restoration of optimal function.