WE JOIN NON-UNIONS
Non-union exists when the fracture healing process has ceased completely, and the fragments remain un-united. The diagnosis is established from continued motion at the fracture site on manipulation and characteristic radiographic findings.
Non-union results from inadequate immobilization, early weight-bearing and joint exercises, poor blood supply, soft tissue interposition, infection, inappropriate surgical treatment, poor surgical skills, implant failure, osteoporosis and senility.
In established non-union operative intervention is essential to reinitiate the healing process, the success of which depends on the surgical method. Combinations of internal fixation, bone grafting, resection of the fracture line and splinting with plaster or an external fixator immobilization are unusually performed, the best results being achieved in hypertrophic nonunion.
In atrophic nonunion rigid internal fixation cannot be achieved due to the softness of bone cortices. Compression of fragments becomes necessary to obtain fracture union.
WE LIQUIDATE POSTRAUMATIC OSTEOMYELITIS
Bone infection is a frequent complication of closed fractures, treated by open surgery and a more common complication of open fractures. The exposed dead bone syndrome, seen in the pictures is a failure of orthopedics in this twenty first century.
Post traumatic osteomyelitis with segmental bone loss presents a great challenge to the surgeon to treat. Majority of such cases end up with limb amputation after several failed repetitive surgeries.
In our hospital, we treat them by radical excision of the infected focus with complete removal of all dead tissues and bone. The lost bone segment is replaced using bone transportation technique, at the end of which we convert the bone ends to congruent surfaces for apposition, grafting and compression in the Ilizarov frame.