Non-Union & Failed Fracture Care

Non-Union Fracture Treatment in Indore

Consultation for patients whose fracture has not healed, has delayed healing, has failed after previous surgery, or may need bone grafting, revision fixation, Ilizarov, rail fixator or infection workup.

Non-Union Fracture Treatment in Indore
Keyword

Non union treatment Indore

For persistent fracture pain, movement at fracture site and delayed healing.

Keyword

Fracture non union specialist Indore

Complex fracture review after plaster, nail, plate or previous surgery.

Keyword

Bone grafting for non union Indore

Bone grafting may be discussed after checking biology, stability and infection.

Symptoms

When to suspect non-union or delayed union

A fracture that does not heal on time needs a fresh orthopedic review, especially if pain and disability continue.

Common warning signs

  • Pain at the fracture site months after injury.
  • Abnormal movement or clicking at the old fracture area.
  • Difficulty walking or using the limb despite enough time.
  • Broken implant, loose plate, bent nail or repeated swelling.
  • Persistent wound discharge or sinus suggesting infected non-union.

Who should seek review

  • Patients after failed plaster treatment.
  • Patients after previous fracture surgery with poor healing.
  • Patients with diabetes, smoking history or infection risk.
  • Patients with bone loss, severe trauma or open fracture history.
Causes

Why a fracture may not heal

Non-union is usually due to a mix of mechanical stability, biology and infection factors.

Mechanical causes

  • Unstable fracture fixation.
  • Large fracture gap or bone loss.
  • Implant failure or poor alignment.
  • Premature weight bearing in selected fractures.

Biological causes

  • Poor blood supply.
  • Infection or osteomyelitis.
  • Smoking, uncontrolled diabetes or poor nutrition.
  • Severe soft tissue injury after accident.
Workup

Reports needed before planning treatment

A non-union plan should be based on both current status and the full treatment history.

Bring these records

  • Old and recent X-rays.
  • Previous operation notes and implant details.
  • CT scan if already done.
  • Blood tests such as ESR/CRP if infection is suspected.
  • Culture reports if there was pus, sinus or discharge.

Questions answered

  • Is the non-union infected or non-infected?
  • Is the main problem instability, poor biology or both?
  • Is bone grafting needed?
  • Is revision plating/nailing, Ilizarov or rail fixator suitable?
  • How long may recovery and weight-bearing take?
Treatment

Treatment options for non-union fracture

Treatment is individualized. The same X-ray label can need different plans in different patients.

Possible options

  • Revision fixation with plate, nail or screws.
  • Bone grafting for non-union where biology needs support.
  • Ilizarov or rail fixator in selected difficult non-union cases.
  • Debridement and staged treatment for infected non-union.
  • Physiotherapy and protected weight bearing as healing progresses.

Next Step

Book non-union fracture consultation

Bring old X-rays, latest X-rays, previous surgery notes, implant details and infection reports so the reason for non-healing can be assessed properly.

Book

Book Consultation

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