Non-Unions Malunion
Non-union and malunion are complications that can arise from fractures or bone surgeries. Both conditions affect the proper healing and alignment of bones. Here's a detailed overview of each:
Non-Union
Non-union occurs when a fractured bone fails to heal properly within the expected time frame, typically 6 to 9 months after the injury.
Causes:
- Inadequate Blood Supply: Poor blood flow to the fracture site.
- Infection: Osteomyelitis or other infections that interfere with bone healing.
- Inadequate Immobilization: Failure to properly stabilize the fracture with casts or internal fixation.
- Poor Fracture Reduction: Misalignment or improper initial treatment.
- Bone Quality: Conditions like osteoporosis that weaken bone.
Symptoms:
- Persistent pain at the fracture site.
- Continued swelling or tenderness.
- Lack of improvement in function or mobility.
- Abnormal movement at the fracture site.
Malunion
Malunion occurs when a fractured bone heals in an incorrect position or alignment, leading to functional impairment or deformity.
Causes:
- Inadequate Reduction: Failure to properly align the bone fragments during initial treatment.
- Improper Immobilization: Lack of proper stabilization or premature movement.
- Incomplete Fracture Healing: Insufficient healing due to poor blood supply or other factors.
Symptoms:
- Visible deformity at the fracture site.
- Pain or discomfort in the affected area.
- Functional impairment or difficulty with movement.
- Increased risk of arthritis or joint issues if the malunion affects the joint.
Rehabilitation and Aftercare
- Physical Therapy: Essential for both non-union and malunion cases to restore function, strength, and mobility.
- Follow-Up Care: Regular monitoring with imaging and clinical assessments to track healing and alignment.
- Pain Management: Use of medications, physical therapy, and other methods to manage pain.
- Lifestyle Adjustments: Modifications to activity levels and supportive care to prevent complications.
If you would like to have additional information contact Dr. Vipul Shet, serving communities and people from all walks of live.
