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Fracture non-union epidemiology and treatment

2015; SAGE Publishing; Volume: 18; Issue: 1 Linguagem: Inglês

10.1177/1460408615591625

1477-0350

Rajpal Nandra, Liam M. Grover, Keith Porter,

Hip and Femur Fractures

Fracture non-union remains a clinical problem despite advances in the understanding of basic science and technology. Each fracture has a unique personality as does the patient suffering the injury. Thus, each case must be treated on an individual basis. This article defines the problem of fracture non-union and reports recent epidemiological studies. We discuss relevant risk factors and methods for assessing patients who have a tendency toward fracture non-union. There are many treatment options for patients with non-union, where a number of these modalities are still under review. We discuss current evidence with the use of bone morphogenic protein, platelet-rich plasma and low-intensity pulsed ultrasound to augment the treatment of fracture non-union.