Summary about Disease
A non-union fracture is a broken bone that has failed to heal after a prolonged period of time. While most fractures heal within a few weeks or months, a non-union occurs when the healing process stops or slows down significantly. This can result in persistent pain, instability, and limited function.
Symptoms
Persistent pain at the fracture site
Tenderness upon palpation
Swelling
Instability or abnormal movement at the fracture site
Deformity
Limited range of motion
Causes
Inadequate blood supply to the fracture site
Infection
Inadequate stabilization of the fracture
Patient factors (e.g., smoking, diabetes, malnutrition)
Use of certain medications (e.g., NSAIDs)
Severe trauma or bone loss
Malalignment of the fracture fragments
Medicine Used
There are generally no medicines specifically to treat Non-Union fractures. Surgery is required in almost all the cases.
Pain relievers (e.g., NSAIDs, opioids) to manage pain. However, NSAIDs may inhibit bone healing, so their use is often limited.
Antibiotics may be used to treat or prevent infection.
Is Communicable
No, a non-union fracture is not communicable. It is not an infectious disease and cannot be spread from person to person.
Precautions
Precautions after surgery include:
Follow orthopedic surgeon's post-operative instructions carefully.
Avoid activities that put stress on the fracture site.
Maintain good nutrition to support bone healing.
Manage underlying health conditions (e.g., diabetes).
Avoid smoking and excessive alcohol consumption.
How long does an outbreak last?
Non-union fractures are not an outbreak.
How is it diagnosed?
Physical Examination: Assessment of pain, swelling, range of motion, and stability at the fracture site.
X-rays: To visualize the fracture and assess the progress of healing.
CT Scan: Provides more detailed images of the bone and can help identify non-union.
Bone Scan: Can help assess blood flow and bone activity at the fracture site.
Timeline of Symptoms
The onset of symptoms is usually gradual.
Initial Fracture: Immediate pain, swelling, and limited function.
Expected Healing Period (Weeks/Months): Pain and swelling should gradually decrease. Improvement in range of motion and function.
Non-Union Development (Months/Years): Persistent pain, tenderness, and instability. Limited progress in healing.
Important Considerations
Early diagnosis and treatment are crucial to improve the chances of successful healing.
Surgical intervention is often necessary to correct a non-union fracture.
Bone grafting may be required to stimulate bone growth.
Addressing underlying factors that may be contributing to non-union is essential.
Patient compliance with treatment and rehabilitation is vital for a successful outcome.