- Discussion:
- fingings may include osteopenia at frx site & absence of callus;
- potential for healing is significantly diminished;
- these require bone grafting & enhanced fixation;
- Treatment:
- fracture ends of atrophic non union may need to be opened & debrided;
- typically these fractures will require
bone grafting
- debridement of bone ends may be indicated in atrophic non unions;
- simple compression of atrophic bone ends will not enhance frx healing;
-
Ilizarov:
- corticotomy may induce stimulation for osteogenesis & allows for equalizing
leg length;
