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 Therapist Receives Royal Recognition

    Katherine Butler is the hand therapist for The London Orthopaedic Clinic and is based at King Edward VII’s Hospital. She was presented to HRH The Prince of Wales at The Royal Society of Musicians as he opened the Society’s new building in London. Katherine is an Honorary Associate Professor at UCL and Plymouth University and […]