Complications of fracture healing

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Complications of fracture healing

Delayed union:
Defined as healing that has not advanced at the average rate
Usually considered a delayed union if not healed by 4-6months

Management:
Strict nonweightbearing immobilisation

Infections:

Nonunion:
Usually considered a nonunion if not healed at 8-9 months (In USA, for reimbursement purposes, Medicare considers a nonunion as being 90 days)

Can be classified as hypertrophic/hypervascular or atrophic/avascular

Management:
Bone stimulator
Surgical
Bone graft

Fibrous unions:

Pseudoarthrosis:
Usually the end stage of a nonunion.
A fibrocartilaginous surface and joint space develops

Management:
Surgical

Oedema:

Joint stiffness:

Neurological complications:

Vascular complications:
Embolism
Arterial thrombosis
Venous thrombosis

Compartment syndrome:

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