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Exchange Nailing, for Atrophic Non-union of the Tibia, after Implant Breakage, Post a Non-traumatic Event

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Journal of Clinical Orthopaedics | Vol 7 | Issue 2 |  Jul-Dec 2022 | page: 81-84 | Rohit Mahesh Sane, Kedar Anil Parelkar, Sunil Hiriyanna Shetty

DOI: 10.13107/jcorth.2022.v07i02.541

Author: Rohit Mahesh Sane [1], Kedar Anil Parelkar [1], Sunil Hiriyanna Shetty [1]

[1] Department of Orthopaedics, D.Y. Patil University School of Medicine, Navi Mumbai – 400706, India.

Address of Correspondence
Dr. Rohit Mahesh Sane,
Department of Orthopaedics, D.Y. Patil University School of Medicine, Navi Mumbai – 400706, India.
E-mail: dr.sanerohit@gmail.com

Abstract

Background: The most feared complication of fracture management is non-union. Non-union can be of the following types, hypertrophic, oligotrophic, atrophic, and septic. In view of a non-union, exchange nailing is preferred and so routinely performed for non-unions and fractures of the tibia.

Case Presentation: Here, we present a case of an implant failure from an atraumatic event in a case of atrophic non-union of the tibia, which was treated by exchange nailing and bone grafting. A 22-year-old male, with a history of the left closed tibia fibula diaphysis fracture 1 year ago, underwent exchange nailing with bone grating after having an atrophic non-union with implant breakage.

Conclusion: Implant failure and non-union are caused due to a wide variety of factors. Appropriate implant selection for fracture type, reaming, fracture site compression, good reduction, and adequate and early mobilization are important factors for a satisfactory union and prevention of secondary surgeries.

Keywords: Atrophic non-union, exchange nailing, implant breakage, non-traumatic event, tibia

References

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How to Cite this article: Sane RM, Parelkar KA, Shetty SH. Exchange Nailing, for Atrophic Non-union of the Tibia, after Implant Breakage, Post a Non-traumatic Event. Journal of Clinical Orthopaedics Jul-Dec 2022;7(2):81-84.

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