Skip to main content
  • 335 Accesses

Abstract

In 4–6 months, most fractures will unite or at least show progressive healing on serial X-rays. If a fracture has not healed by that time, it is considered to be a delayed union. Even if the initial internal fixation had rendered the fracture lines well adapted and hardly visible, these fracture lines will become progressively wider and some cloudy, poorly delineated “irritation callus” may be present. Resorption areas around the internal fixation devices will show evidence of loosening and irritation.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

eBook
USD 16.99
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 99.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  • Anderson LD, Boyd HB, Johnston DS (1965) Changing concepts in the treatment of non-union. Clin Orthop 43: 37

    Google Scholar 

  • Bassett CAL, Mitchell SN, Gaston SR (1981) Treatment of ununited tibial diaphyseal fractures with pulsing electromagnetic fields. J Bone Joint Surg [Am] 63: 511–523

    CAS  Google Scholar 

  • Brighton CT, Pollack SR (1985) Treatment of recalcitrant non-union with a capacitively coupled electric field. A preliminary report. J Bone Joint Surg [Am] 67: 577–585

    Google Scholar 

  • Eggers GWN, Shindler TO, Pomerat CM (1949) The influence of the contact compression factor on osteogenesis in surgical fractures. J Bone Joint Surg [Am] 31: 693

    Google Scholar 

  • Friedrich B, Klaue P (1977) Mechanical stability and post-traumatic osteitis: an experimental evaluation of the relation between infection of bone and internal fixation. Injury 9: 23

    Article  PubMed  CAS  Google Scholar 

  • Ilizarov GA, Kaplunov AG, Degtarev VE, Ledaiev VI (1972) Treatment of pseudarthroses and ununited fractures complicated by purulent infection, by the method of compression-distraction osteosynthesis. Ortop Travmatol Protez 33: 10–14

    PubMed  CAS  Google Scholar 

  • Judet J, Judet R (1961) L’ostéogénèse et les retards de consolidation et les pseudoarthroses des os longs. 8e Congrès SICOT, New York 1960. Imprimeries des Sciences, Bruxelles

    Google Scholar 

  • Kempf I, Grosse A, Lafforgue D (1978) L’apport du verrouillage dans l’enclouage centro-médullaire des os longs. Rev Chir Orthop 64: 635–651

    PubMed  CAS  Google Scholar 

  • Meyer S, Weiland AJ, Willenegger H (1975) The treatment of infected non-union of fractures of long bones. J Bone Joint Surg [Am] 57: 836

    CAS  Google Scholar 

  • Müller ME (1965) Treatment of nonunions by compression. Clin Orthop 43: 83–92

    Google Scholar 

  • Müller ME (1979) Reconstructive bone surgery. In: Müller ME, Allgöwer M, Schneider R, Willenegger

    Google Scholar 

  • H (eds) Manual of internal fixation, 2nd edn. Springer, Berlin Heidelberg New York, pp 333–395 Müller J, Schenk RK, Willenegger H (1968) Experimentelle Untersuchungen über die Entstehung reaktiver

    Google Scholar 

  • Pseudoarthrosen am Hunderadius. Helv Chir Act 35:301

    Google Scholar 

  • Papineau LJ, Alfageme A, Dalcourt JP, Pilon L (1979) Ostéomyélite chronique: excision et greffe de spongieux à l’air libre après mises à plat extensives. Int Orthop 3: 165

    Article  PubMed  CAS  Google Scholar 

  • Perren SM, Cordey J (1980) The concepts of interfragmentary strains. In: Uhthoff HF (ed) Current concepts of internal fixation of fractures. Springer, Berlin Heidelberg New York

    Google Scholar 

  • Phemister DB (1947) Treatment of un-united fractures by onlay bone grafts without screw or other fixation and without breaking down of the fibrous union. J Bone Joint Surg 29: 946

    PubMed  CAS  Google Scholar 

  • Rosen H (1979) Compression treatment of pseudarthroses. Clin Orthop 138: 154–166

    PubMed  Google Scholar 

  • Weber BG, Brunner C (1981) The treatment of nonunions without electrical stimulation. Clin Orthop 161: 24–32

    PubMed  Google Scholar 

  • Weber BG, Cech 0 (1976) Pseudarthrosis. Pathophysiology, biomechanics, therapy, results. Huber, Bern Weiland AJ, Moore JR, Daniel RK (1983) Vascularized bone autografts: experience with 41 cases. Clin Orthop 174: 87

    Google Scholar 

Download references

Authors

Rights and permissions

Reprints and permissions

Copyright information

© 1991 Springer-Verlag Berlin Heidelberg

About this chapter

Cite this chapter

Rosen, H. (1991). Pseudarthroses. In: Manual of INTERNAL FIXATION. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-662-02695-3_19

Download citation

  • DOI: https://doi.org/10.1007/978-3-662-02695-3_19

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-642-08091-3

  • Online ISBN: 978-3-662-02695-3

  • eBook Packages: Springer Book Archive

Publish with us

Policies and ethics