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Nonunion is permanent failure of healing following a broken bone unless intervention (such as surgery) is performed. A fracture with nonunion generally forms a structural resemblance to a fibrous joint, and is therefore often called a "false joint" or pseudoarthrosis (from Greek pseudo-, meaning false, and arthrosis, meaning joint).
Pulsed electromagnetic field therapy (PEMFT, or PEMF therapy), also known as low field magnetic stimulation (LFMS) is the use of electromagnetic fields in an attempt to heal non-union fractures and depression. [1] By 2007 the FDA had cleared several such stimulation devices. [2]
Other complications may include non-union, where the fractured bone fails to heal, or malunion, where the fractured bone heals in a deformed manner. One form of malunion is the malrotation of a bone, which is especially common after femoral and tibial fractures. [ 6 ]
Atrophic non-union results in re-absorption and rounding of bone ends [6] due to inadequate blood supply and excessive mobility of the bone ends. [4] Mal-union: healing occurs but the healed bone has 'angular deformity, translation, or rotational alignment that requires surgical correction'. This is most common in long bones such as the femur.
A Jones fracture is a broken bone in a specific part of the fifth metatarsal of the foot between the base and middle part [8] that is known for its high rate of delayed healing or nonunion. [4] It results in pain near the midportion of the foot on the outside. [2] There may also be bruising and difficulty walking. [3] Onset is generally sudden. [4]
Orthopedic surgeon making adjustments to a metal plate in a patient's ankle. An orthopedic plate is a form of internal fixation used in orthopaedic surgery to hold fractures in place to allow bone healing [1] and to reduce the possibility of nonunion.
In the early 1980s, American orthopedist Harold Frost published a review article detailing then known experiences with regional acceleratory phenomena, which can be caused by injuries such as fractures and burns, afflictions such as acute paralysis and arthritis, bone movement such as implant placement and orthodontics, as well as vitamin D, thyroxine, and electrical stimuli.
Arterial flow to the scaphoid enters via the distal pole and travels to the proximal pole. This blood supply is tenuous, increasing the risk of nonunion, particularly with fractures at the wrist and proximal end. [4] If not treated correctly non-union of the scaphoid fracture can lead to wrist osteoarthritis. [citation needed]