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This is an archived page which is no longer updated.
Please visit the main page to look for a current version |
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Nonunion
- synonyms:
- ICD-9=733.82 (nonunion of fracture)
- Nonunion = no improvement clinically or radiologically in fracture healing over a 3 month period.
Nonunion Risk Factors
- Open fractrue
- tobacco use
- Diabetes
- Malnutrition
- Increased age
Nonunion Treatment
- Consider evaluation for underlying metabolic disturbances (Brinker MR, JOT 2007;21:557)
- Bone growth stimulators: Non-invasive electrical bone growth stimulation is considered medically appropriate when all of the following criteria are met:
-At least three (3) months have passed since the date of fracture; and
-Serial radiographs have confirmed that no progressive signs of healing have occurred; and
-The fracture gap is one (1) cm or less; and
-The individual can be adequately immobilized and is likely to comply with non-weight bearing.
Specific Nonunions
Fusion / Nonunion Clinical Utility
- Amplify rhBMP-2 Matrix; Medronic: slown to decrease operative time, and blood loss and increase fusion rates compared to iliac crest graft for lumbar fusion (Dimar J, JBJS 2009;91A:1377).
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Bone Stimulators
EBI Bone Stimulators
Exogen bone healing system
DONJOY bone stimulators
Orthofix bone stimulator
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| Bone Graft Substitutes
Allosoure Allofuse
Biomet ProOsteon
Biomet InterGro DBM
Biomet BonePlast
Exactech Opteform
Exactech Optefil
Exactech Optecure
Exactech OpteMx
Isotis AccellDBM
Isotis Accell Total DBM
Isotis Accell Conexus
Lifenet Optimum DBM
Lifenet IC Graft
Lifenet Cellect DBM
Lifenet OraGraft
Medtronic Infuse
Medtronic Granules
Medtronic Matrix
Medtronic Putty
Medtronic Osteofil DBM
Orthofix Osteomax
Osteotech Grafton
Stryker OP-1 implant
Stryker OP-I putty
Stryker Calstrux
Stryker Hydroset
Synthes DBX
Synthes Norian
Synthes Chronos
Wright Osteoset
Wright MIIG X3
Wright Cellplex
Wright Allomatrix
Wright Ignite
Zimmer CopiOS
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