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THE TREATMENT OF LOW-GRADE SEPTIC NON-UNIONS
Vol 31, Issue 4S1, 2017
Abstract
Non-union (or pseudoarthrosis) is defined as a fracture that fails to consolidate after 6 monthsfrom the trauma. Current conservative treatments consist of biological (i.e. with calcium, VitaminD) and mechanical stimulation. Moreover, surgical approaches include the use of endomidollar nailosteosynthesis, compression plates that are often associated with bone grafts. External fixation is a validsurgical alternative especially in case of septic non-unions. Indeed, compression-distraction osteosynthesisresults in a significant improvement in bone vascularisation and exerts a powerful osteoinductivestimulus on the non-union site. In this review, we will describe a cohort of patients affected by low-gradeseptic non-unions and treated with external fixation.
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Medical Genetics, University of Torino Medical School, Italy
Department of Biomedical, Surgical and Dental Sciences, University of Milan, Italy