If a bone has shown no evidence of healing for 3 months or has stopped healing for 3 months then it is likely that it will not unite without further intervention. Non-unions tend to be painful, internal fixation devices can break which displaces the fracture. Modern limb reconstruction techniques are individualised depending on the bone involved and the severity of the original injury. Treatment may include revising the fixation, using a bone graft or bone morphogenetic proteins to stimulate bone formation. In severe cases, external fixator frames such as the llizarov frame or Taylor Spatial Frame can be used to re-grow segments of bone that are not healing or stabilise infected non-unions. Limb reconstruction techniques are often long and complex, but are usually the last resort for healing problem fractures.

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  • Hand And Wrist Doctor

    The hand and wrist are very complex. There are 29 joints, 29 bones, 34 muscles and 123 ligaments in the hand and wrist. Combined, these structures allow us to use our hands perfectly each and every day, but it only takes one of these structures to become damaged to throw the whole system off kilter. […]

  • Lateral Release Rehabilitation

    What is lateral release surgery? Lateral release surgery is an operation to correct a dislocating kneecap. Once you’ve had this operation, your kneecap and the structures in your knee may benefit from physiotherapy. Physiotherapy after any knee operation can help strengthen your knee and the surrounding muscles, ligaments and tendons to ensure a speedy recovery. […]

  • Kneecap Instability

    Your kneecap runs in a groove in your knee. When your kneecap is in this groove, everything is fine, and your knee works perfectly. You can sit, walk, run and move around easily. However, when your kneecap slips out of this groove, this can all change. The kneecap slipping out of the groove causes pain, […]