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chronic persistent infected non-union which may be very difficult to eradicate. 4 , 5 Considering the importance of diagnosing and treating an infected fracture, it is surprising that it is only very recently that an accepted definition of fracture
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Koh et al 5 including 733 patients with 834 fractures showed an overall healing rate of 85% and a revision rate of 12.6%. Lim et al 49 tested 46 variables for association with healing time longer than six months or non-union. High BMI and
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approximately 15% in matched control groups of non-diabetic patients. 1 , 3 – 5 A recent large-scale study showed that diabetes mellitus (DM) had the highest odds for amputation after ankle fracture fixation, compared to any other risk factors, 6
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St George’s, University of London, London, UK
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Taiwan Case report / 4 4.0 1 Post-osteomyelitis deformity Pelvis, Femur ✓ Not stated ✓ – Clinical: gait/squat assessment – Radiographic union – Complications – Radiographic assessment: lateral centre edge (CE) angle, acetabular
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patients over 55 ( 6 ), open reduction internal fixation (ORIF) have not produced satisfactory outcomes in some studies. Litchfield reported a 22.6% non-union rate (7/31) ( 7 ), whilst Beauchamp et al. reported a total complication rate of 50.1% and an
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MD . Advances in the management of humeral nonunion . J Am Acad Orthop Surg 2003 ; 11 : 48 – 59 . 10. Ackerman G Jupiter JB . Non-union of fractures of the distal end of the humerus . J Bone Joint Surg Am 1988
Department of Orthopedics, Faculty of Medicine, Can Tho University of Medicine and Pharmacy, Can Tho, Vietnam
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Department of Orthopedics, Faculty of Medicine, Can Tho University of Medicine and Pharmacy, Can Tho, Vietnam
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Department of Orthopedics, School of Medicine, College of Medicine, Taipei Medical University, Taipei, Taiwan
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Department of Orthopedics, School of Medicine, College of Medicine, Taipei Medical University, Taipei, Taiwan
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negative impact on the bone-healing process ( 61 , 62 ). Recent meta-analyses have substantiated this concern, establishing smoking as a risk factor for delayed bone union and non-union ( 57 , 63 ). While these findings are well-supported, it is
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metastatic lesions or (ii) post-radiation fracture in patients previously treated for soft tissue sarcoma (1 case). We decided to also include the last patient in the study because post-radiation fracture has a high risk of non-union and needs a careful
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strength in all patients was 93% of the contralateral hand. This study did not report any infections, non-union or rotational deformities. No cases of complex regional pain syndrome were reported. One patient underwent screw removal because of proximal
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PTS stems. Goudie et al reported a union rate of 91% in a series of 79 patients treated with IF over a five-year period and found that non-anatomic reduction and infection were associated with nonunion. 67 Maggs et al reported a series of cement
