BACKGROUND Humeral nonunion that persists through various unsuccessful attempts at management, presents a real challenge. When combined with severe osteoporosis in elderly patients, the problems only increase. This study aims to investigate the best option for treating this combination of factors. MATERIALS AND METHOD This study analyses the outcomes of five patients with the following inclus...

Humeral shaft nonunions with severe osteopenia presents challenges. Because of previous surgeries, complex anatomy of vascular, muscles and nerves at the nonunion site making the operation difficulty and risky. Vascularized fibula transfer and bone transporting are particularly useful in handling bone loss. However both methods require surgical experience and facility which are not available in...

OBJECTIVE To determine the effect of reamed versus nonreamed intramedullary (IM) nailing of lower extremity long bone fractures on the rates of nonunion, implant failure, malunion, compartment syndrome, pulmonary embolus, and infection. DESIGN Quantitative systematic review of prospective, randomized controlled trials. DATA IDENTIFICATION MEDLINE and SCISEARCH computer searches provided lis...

We report our experience in 42 patients, using corticocancellous bone grafts and lag screw fixation for un-united scaphoid fractures. Using a grading system, we analysed the suitability of the method for three types of nonunion. We recommend the operation for the treatment of scaphoid nonunion, except where there is avascular necrosis of the proximal pole.

The editors have also carefully selected additional cases, contributed by several experts in nonunion treatment. Each case provides step-by-step descriptions of case history, preoperative planning, surgical approach, reduction, fixation, rehabilitation, and finally pitfalls and pearls. Hundreds of full-color pictures, precise illustrations, and x-rays demonstrate the significant steps in nonuni...

The editors have also carefully selected additional cases, contributed by several experts in nonunion treatment. Each case provides step-by-step descriptions of case history, preoperative planning, surgical approach, reduction, fixation, rehabilitation, and finally pitfalls and pearls. Hundreds of full-color pictures, precise illustrations, and x-rays demonstrate the significant steps in nonuni...

BACKGROUND Intracapsular femoral neck fractures are associated with high rates of nonunion. We aimed to identify risk factors for nonunion in patients with both displaced and nondisplaced intracapsular femoral neck fractures treated with three 7-mm parallel cannulated screws, placed in either a triangle or an inverted triangle configuration, using failure of fixation as the primary outcome. M...

OBJECTIVE Nonunion is defined as a minimum of 9 months since injury without any visible progressive signs of healing for 3 months. Recent literature has shown that the application of mesenchymal stromal cells is safe, in vitro and in vivo, for treating long bone nonunion. The present study was performed to investigate the safety of mesenchymal stromal cell (MSC) implantation in combination with...