Operative Techniques in Orthopaedics
Volume 18, Issue 2 , Pages 86-94, April 2008

Biomechanical Strategies for Managing Atrophic and Oligotrophic Nonunions

  • Ivan S. Tarkin, MD

      Affiliations

    • Corresponding Author InformationAddress reprint requests to Ivan S. Tarkin, MD, Department of Orthopaedic Surgery, Division of Orthopaedic Trauma, University of Pittsburgh Medical Center, Kaufmann Medical Building, 3471 Fifth Avenue, Suite 911, Pittsburgh, PA 15213
    • ,
  • John M. Sojka, MD

Department of Orthopaedic Surgery, Division of Orthopaedic Trauma, University of Pittsburgh Medical Center, Pittsburgh, PA

An individualized plan of care is critical for managing the patient with fracture nonunion. Optimizing the host and the local biomechanical milieu are key elements for treatment success. Mindful preoperative planning is paramount. Atrophic and oligotrophic variants frequently require both mechanical stability and biologic supplementation. Deformity correction is integral in the algorithm.

Keywords: atrophic nonunion, oligotrophic nonunion, deformity correction, revision internal fixation, biologic supplementation

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PII: S1048-6666(08)00037-2

doi:10.1053/j.oto.2008.10.003

Operative Techniques in Orthopaedics
Volume 18, Issue 2 , Pages 86-94, April 2008

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