DOI: 10.1055/b-002-85512
Marti, René K; Kloen, Peter: 2011

Concepts and Cases in Nonunion Treatment

Print ISBN 9783131658517 · Online ISBN 9783131658616
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Book

Editors: Marti, René K; Kloen, Peter

Authors: Ahlbäumer, Georg; Barei, David P; Beck, Martin; Besselaar, Philip P; Blackrick, Lisa R; Èech, Oldøich; Einhorn, Thomas A; Everts, Peter AM; Fernandez, Diego L; Fica, Gerardo; Fontijne, W Peter J; Ganz, Reinhold; Helfet, David L; Johnson, Eric; Jupiter, Jesse B; Kakar, Sanjeev; Klein-Nulend, Jenneke; Kloen, Peter; Leunig, Michael; Magert, Friedrich; Marti, René K; Nolte, Peter A; Pacheco, Ivan; Paley, Dror; Prasam, Mark L; Punt, Bas J; Raaijmakers, Jerome; Raaymakers, Emst LFB; Ring, David C; Rutgers, Marijn; Rutten, Sjoerd; Schaap, Gerard R; Schaf roth, Matthias U; Somford, Matthijs P; Struijs, Peter AA; Stufkens, Sjoerd AS; Südkamp, Norbert P; Toro-Arbelaez, Jose B; Trentz, Otmar; van der Veen, Alexander H; van der Werken, Christian; van Dijk, C Niek; van Montfort, Gust; Verheyen, Cees C; Veth, Michiel JJ; Weber, Timothy G; Wilber, John H; Zwipp, Hans

Title: Concepts and Cases in Nonunion Treatment

Print ISBN: 9783131658517; Online ISBN: 9783131658616; Book DOI: 10.1055/b-002-85512

2011 © 2011 Georg Thieme Verlag KG
Georg Thieme Verlag KG, Stuttgart

Subjects: Orthopaedics and Trauma Surgery

Thieme Clinical Collections (English Language)



Front Matter
Principles: Evolution of treatment of nonunions
Evolution of treatment of nonunions
Principles: Basic science aspects
Normal and impaired fracture healing
Pathogenesis and treatment of impaired fracture healing
Emerging treatments for fractures and nonunions—growth factors and beyond
Nonunion and the application of platelet-leukocyte gel (PLG) and bone morphogenetic protein (BMP)
Principles: Nonoperative treatment
Pulsed electromagnetic fields in the treatment of nonunions—the Dutch experience
Ultrasound in osteotomies and nonunions—basic research
Principles: Bone graft
The role of decortication in the treatment of nonunions
Autogenous bone grafting in the treatment of nonunions
Open cancellous bone graft
Bone-graft substitutes
Induced membranes—summary
Principles: Infected nonunions
Infected nonunions
Cases: Clavicle
Nonunion of the clavicle—introduction
Midshaft clavicular nonunion
Lateral clavicular nonunion with intact coracoclavicular ligaments
Lateral clavicular nonunion with torn coracoclavicular ligaments
Instability after resection of a lateral clavicular nonunion
Large defect after multiple clavicular resections
Infected nonunion of the clavicle
Wave plate fixation of an atrophic midshaft clavicular nonunion
Anteroinferior plating of midshaft clavicular nonunions
Cases: Humerus, proximal
Nonunion of the proximal humerus—introduction
Hypermobile nonunion after 3-part fracture of the proximal humerus
Standard approach to an atrophic, excavation-head nonunion of the proximal humeral neck
Salvage of a proximal humeral nonunion after multiple failed interventions
Sequence of problems after a 4-part fracture of the proximal humerus leading to a shoulder arthrodesis
Intercalary proximal humeral nonunion with failed fixation
Proximal humeral nonunion treated with adhesiolysis, debridement, locking proximal humeral plate, and bone graft
Cases: Humerus, shaft
Nonunion of the humeral shaft—introduction
Nonunion repair after primary conservative treatment of a humeral shaft fracture
Humeral shaft—nonunion repair after failed osteosynthesis
Nonunion after intramedullary nailing of a transverse humeral shaft fracture
Hypertrophic nonunion of the humeral shaft
External fixation of an infected humeral shaft nonunion
Nonunion of the humeral shaft treated with a customized 95° blade plate
Cases: Humerus, distal
Nonunion of the distal humerus—introduction
Distal humeral nonunions
Combined humeral shaft and intercondylar nonunion
Low transcondylar nonunion—double plating
Distal humeral nonunion—double plating
Long-standing nonunion of the lateral condyle—supracondylar varization osteotomy
Long-standing nonunion of the lateral condyle—internal fixation
Biplanar nonunion of the distal humerus after failed osteotomy
Distal humeral nonunion treated with the Ilizarov technique
Cases: Forearm
Nonunions of the forearm—introduction
Nonunion of the proximal ulna
Nonunion of the radial head
Delayed union of the proximal ulna after transolecranon fracture luxation
Single-bone nonunion of the forearm with bony defect
Infected nonunion of the ulnar shaft
Radial neck nonunion and ulnar shaft nonunion (Monteggia lesion)
Nonunion of the distal radius following a radial osteotomy attempt (failed plate fixation)
Distal radial nonunion
Cases: Pelvis/acetabulum
Nonunions of the pelvis and acetabulum—introduction
Sacroiliac nonunion after unstable pelvic fracture
Pelvic nonunion
Pelvic nonunion after periacetabular osteotomy
Transtectal transverse acetabular nonunion
Nonunion after acetabular fracture—bone grafting and total hip replacement
Cases: Femur, neck
Nonunion of the femoral neck—introduction
Revascularization of a nonunited avascular femoral head
Proximal femoral nonunion after septic osteitis of a young child
Biological regeneration of a collapsed and dislocated avascular femoral head
Revascularization of a completely dislocated femoral head after intraarticular and valgization osteotomy
Femoral neck nonunion—controlled collapse of the avascular femoral head after nonunion reduction and valgization osteotomy
Lateral femoral neck nonunion after failed DHS fixation in a young patient
Cases: Femur, proximal/intertrochanteric
Nonunion of the proximal and intertrochanteric femur—introduction
Inter-/subtrochanteric mal-/nonunion after failed plate fixation
Nonunion after failed internal fixation of an intertrochanteric fracture
Infected inter- and subtrochanteric nonunion after multiple failed internal fixations
Resection valgization osteotomy of an intertrochanteric nonunion
Cases: Femur, proximal/subtrochanteric
Nonunion of the proximal and subtrochanteric femur—introduction
Subtrochanteric nonunion after osteotomy and shelf plasty in hip dysplasia
2.9.3 Subtrochanteric nonunion after failed first unreamed and second reamed intramedullary nailing
Subtrochanteric nonunion—reamed exchange nailing
Wave plate fixation of a recurrent nonunion after bone cement and plate fixations of a pathological fracture
Long-lasting subtrochanteric mal-/nonunion
Multiple failures including low-grade infection in the treatment of a subtrochanteric nonunion
Reverse inter-/subtrochanteric nonunion after modern fixation techniques treated with valgus osteotomy and condylar blade plate
Cases: Femur, shaft
Nonunion of the femoral shaft—introduction
Defect nonunion of the femoral shaft
Atrophic femoral nonunion
Infected nonunion of the femoral diaphysis with bone defect
Five-year failed treatment of a femoral shaft nonunion
Recurrent subprosthetic nonunion—wave plate fixation
Long-standing nonunion after femoral shaft nailing—leg lengthening and plate fixation
Leg-length equalization by diaphyseal lengthening and contralateral subtrochanteric shortening
LCP wave plating and bone grafting of a femoral nonunion with the nail in situ
Nonunion of femoral shaft fracture in osteogenesis imperfecta treated with locking plate, leaving Rush rod in situ
Non-/malunion after a femoral shaft osteotomy—wave plate fixation
Nonunion and shortening of the femoral shaft after external fixation and infection—plate fixation and lengthening
Atrophic femoral shaft nonunion after intramedullary nailing—additional plate fixation
Infected defect nonunion of the femur—external fixation and bone grafting
Cases: Femur, distal
Nonunion of the distal femur—introduction
Distal femoral nonunion
Atrophic resorption nonunion of the distal femur after varization osteotomy
Nonunion of unicondylar distal femoral fracture (Hoffa nonunion)
Distal femoral nonunion in paraplegic treated with LISS
Distal femoral nonunion treated with LISS and bone graft
Distal femoral nonunion in area of chronic osteomyelitis
Distal femoral nonunion after LISS plating treated with a blade plate
Supracondylar femoral nonunion in a osteogenesis imperfecta patient
Cases: Tibia, proximal
Nonunion of the extraarticular proximal tibia and the tibial plateau—introduction
Intraarticular nonunion of the proximal tibia
Proximal tibial nonunion treated with 95° condylar blade plate
Proximal tibial nonunion after tibial plateau fracture
Proximal tibial nonunion after internal fixation of a type C tibial head fracture
Hypertrophic nonunion after high-tibial osteotomy
Intraarticular proximal tibial nonunion
Cases: Tibia, shaft
Nonunion of the tibial shaft—introduction
Infected nonunion of tibial diaphysis with bone defect
Infected nonunion and bone necrosis after intramedullary reaming of the tibia—Ilizarov bone transportation
Infected tibial nonunion after intramedullary nailing
Infected nonunion of the tibial shaft
Infected tibial nonunion, radical debridement, vascularized flap, and bone graft
Severe bone/soft-tissue defect of the lower leg after gas gangrene
Ilizarov bone transportation in a large bone/soft-tissue defect
Tibial shaft nonunion after grade IIIB tibial fracture treated with “fix and flap”
Nonunion of the tibial shaft after plate fixation
Classical reconstruction of an infected defect nonunion of the tibia
Infected tibial nonunion
Infected defect nonunion of the tibia—Ilizarov bone transportation after multiple interventions
Tibial shaft nonunion after plate osteosynthesis treated with reamed intramedullary nailing
Cases: Tibia, distal/pilon
Nonunions of the distal tibia and pilon—introduction
Atrophic mal-/nonunion after distal tibial nailing
Pilon nonunion treated with LCP and bone graft
Atrophic nonunion after pilon fracture—severe osteoporosis
Distal tibial nonunion treated with reamed intramedullary nailing
Hypertrophic oblique nonunion of the distal tibia
Atrophic supramalleolar nonunion
Cases: Ankle
Nonunion of the ankle—introduction
Secondary reconstruction of a complex ankle malunion and nonunion
Atrophic nonunion of the distal tibia and fibula with arthrosis of the ankle joint
Mal-/nonunion of the ankle after conservative treatment
Nonunion after ankle fusion
Infected nonunion after bimalleolar ankle fracture with arthritis of the joint
Cases: Foot
Nonunion of the foot—introduction
Central talar nonunion with osteosclerosis and ankle arthritis
Nonunion lateral talar process
Nonunion of the posterior talar body
Mal-/nonunion of a pantalar fusion
Infected nonunion after failed pantalar fusion
Corrective subtalar arthrodesis in a severe mal-/nonunion of the calcaneus
Nonunion of the anterior calcaneal process
Navicular nonunion
Navicular bone nonunion
Nonunion of first cuneiform with partial nonunion of medial navicular bone
Infected proximal metatarsal nonunions—catapult internal fixation
Non-/malunion after Lisfranc fracture dislocation
Sesamoids