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TRAUMA & FRACTURES

Non-union Fracture Treatment

Treating fractures that fail to merge using biological stimuli and revision hardware.

A non-union occurs when a bone fails to heal within a normal timeframe. This can result from poor blood flow, stability issues, or infection. Dr. Sai Dinesh investigates the root causes and designs solutions using bone morphogenetic proteins (BMP), bone marrow aspirate concentrates (BMAC), or high-compression revision plating.

Types & Treatments

Non-unions are categorized and treated based on bone vascularity:

  • ✔ Hypertrophic Non-union: Adequate blood flow but inadequate mechanical stability. Treated with heavier compression plates or dynamic nails.
  • ✔ Atrophic Non-union: Poor blood supply and biological failure. Treated with autologous bone grafts and biological stimulants.
  • ✔ Infected Non-union: Managing deep localized infection using antibiotic bone cement beads prior to revision hardware.

Diagnostic Checklist

- Persistent Loading Pain

Dull pain and instability at the fracture site when putting weight on the limb months after injury.

- Serial X-rays

Checking for a persistent gap or smooth bone edges (pseudarthrosis) over consecutive monthly scans.

- Blood Panels

Ruling out calcium deficiencies, Vitamin D3 depletion, or hidden low-grade bone infections.

Schedule a Consultation

Consult with Dr. Sai Dinesh to explore bone union revision paths.

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