Treatment of Tibial Non-Unions - State of the Art and Future Implications
Märdian, S.; Giesecke, M.; Haschke, F.; Tsitsilonis, S.; Wildemann, B.; Schwabe, P.
Acta Chirurgiae Orthopaedicae et Traumatologiae Cechoslovaca 83(6): 367-374
2016
ISSN/ISBN: 0001-5415 PMID: 28026731 Document Number: 688310
healing disturbances occur in 5-10% of the cases. The anatomical region of the lower limb predisposes the tibia for bone healing disturbances. Reports about the incidence of non-unions of the tibial shaft are inhomogeneous. Different treatment strategies have been published which depend on the type of non-union as well as the history of the patient. These range from conservative approaches to complex procedures including segmental resection and bone transport. This review aimed to summarize the state of the art treatment of tibial non-unions and report about recent basic research results that may improve bone healing. Key words: tibial non-unions, treatment strategies, bone healing.