A member asked:
42 year-old female, 17 weeks post lateral malleolus fibular fracture with non-displacement . no improvement from 6 to 17 wk in xray. is this non -union?
3 doctor answers
Dr. Randall Beckman answered
23 years experience Podiatry
Not yet: Technically, this is a delayed union, but nonetheless is still a good indication for a bone stimulator.
Answered on Sep 28, 2016
Dr. Karl Mangold answered
14 years experience Orthopedic Foot and Ankle Surgery
No: Technically, it is a delayed-union. If the fracture is not healed in 26 weeks it would be considered a non-union. Bone stimulators are typically considered to heal any delayed union. You should keep in mind that if the patient is clinically healed (no pain, stable joint), radiographic changes lag significantly behind, so the fracture may be "healed" even if you can still see it on x-ray.
Answered on May 17, 2016
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