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Atrophic Non Union

  • fingings may include osteopenia at frx site & absence of callus;
  • potential for healing is significantly diminished;
  • these require bone grafting & enhanced fixation;


  • 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