Correct the cause: The key to treating a nonunion is identifying why it failed to heal in the first place. Infection? Smoking? Poor nutrition? Inadequate immobilization/ stability? (hypertrophic nonunion) An inadequate healing response? (atrophic nonunion). Certainly, a year is enough time for a tibia fracture to heal under normal circumstances. Correct the cause. Alternatives to surgery may be a bone stimulator.
Answered 3/25/2022
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