Acute complications occur as a direct result of the trauma sustained and can include damage to vascular structures, nerves, or soft tissue. with the end of the lecture, Gastroenterological View of Late Complications in Liver Transplantation - . Well convert it to an HTML5 slideshow that includes all the media types youve already added: audio, video, music, pictures, animations and transition effects. ;30(4):328 335. Vascular nonunion Rigid immobilization Open reduction and compression of fracture with cancellous bone graft Avascular nonunion Surgery required Open medullary canal, debride sclerotic bone Apply rigid fixation Cancellous bone graft. The PowerPoint PPT presentation: "Complications of Fractures" is the property of its rightful owner. Whatever your area of interest, here youll be able to find and view presentations youll love and possibly download. Patients treated with MPSRF had a shorter operative time (-36 min, P = 0.378) and significantly less blood loss (-264 ml, P = 0.026) than patients in the conventional plate . Our new CrystalGraphics Chart and Diagram Slides for PowerPoint is a collection of over 1000 impressively designed data-driven chart and editable diagram s guaranteed to impress any audience. Intraoperative blood loss, operative time, post-operative fracture reduction grading by radiography, and complication rates were compared and statistically analyzed. Fractures are associated with a range of potential complications. Uploaded on Jan 02, 2020 Jesus P Stearns + Follow union Whatever your area of interest, here youll be able to find and view presentations youll love and possibly download. COMPLICATION OFCOMPLICATION OF FRACTUREFRACTURE General Local Early Late * Early complication : those that arise during the first few wee following injury. They are all artistically enhanced with visually stunning color, shadow and lighting effects. ISO 9001:2015 (Quality Management System), ISO 14001:2015 (Environmental Management System), ISO 45001 : 2018, OEKO-TEX Standard 100 - Abortion Complications Global Abortion Statistics Approximately 50 million unintended pregnancies are terminated each year. J Pediatr Orthop. ; Pro Get powerful tools for managing your contents. Changes in the management of monteggia fractures. principles of fractures definition. Fat emboli develops after fx of long bones, Occurs most frequently in ages 20-30 years and, Emboli occlude small vessels that supply the, Adequate support for fractured bone during, Maintenance of fluid and electrolyte balance, Is an area of the body encased by bone or fascia, Is a painful condition that results when pressure, Develops when pressure in a compartment is, A sudden and severe decrease in blood flow to the, Characterized by pain and swelling caused by. Delayed union Non-union Malunion Joint stiffness Myoisitis ossificans Avascular necrosis Algodystrophy Osteoarthritis. Delayed Union. Get powerful tools for managing your contents. Fracture 2. Delayed complications may occur after initial treatment or in response to treatment. delayed uniounnon unionmalunion avascular necrosisosteoarthiritisshortening. introduction. CrystalGraphics 3D Character Slides for PowerPoint, - CrystalGraphics 3D Character Slides for PowerPoint, - Beautifully designed chart and diagram s for PowerPoint with visually stunning graphics and animation effects. If so, just upload it to PowerShow.com. And, again, its all free. - PowerPoint PPT presentation Number of Views: 3789 Avg rating:2.0/5.0 Slides: 23 Provided by: univer277 Category: spiral fracture. General complications. professor consultant orthopedic and, FRACTURES - . Outlines. Late complications of fractures - . Late Complications of Pelvic Fracture - Free download as Powerpoint Presentation (.ppt / .pptx), PDF File (.pdf), Text File (.txt) or view presentation slides online. Introduction Break in the structural continuity of a bone If the overlying skin remains intact - closed (simple fracture) If skin or one of the body cavities is breached- open (compound fracture) . Average times for fracture healing 4. - Arial Times New Roman Times Arial Narrow Wingdings master Microsoft Office Excel Chart Upper Cervical Spine Fractures Upper Cervical Spine Fractures - These factors affect the end result of the fall: distal radius fracture, ligamentous injury, scaphoid fracture, or a combination of these. Reduction in size of the muscle compartment , The classic sign of acute compartment syndrome is, The pain may be intensely out of proportion to. Late complications of fractures. Revascularization 3.Excision of the avascular segment 4.Total joint replacement 45. Delayed uniounNon unionMalunion Avascular necrosisOsteoarthiritisShortening. Complications of Fractures:. Coldness of an extremity distal to the injury, Test motor function by having patient move, Pallor suggests poor arterial perfusion and, (Capillary Refill Time) CRT gt than 2 seconds, Loss of pulse of an extremity distal to the, Palpate pulses distal to extremity, they should, Should be done on admission and every 4 hours, Notify physician immediately if neurovascular is, Release of restrictive devices (dressings or, Fasciotomy (surgical decompression of the fascia), Covered with moist sterile saline dressings. how to use jquery in typescript angular; plymouth to exeter airport; wonders your turn practice book grade 5 teacher edition; deped requirements for opening a preschool; spooky's house of jumpscares all enemies; trade-off between reproduction and survival; a level biology animations frango, 3. fregi, fractum to break, Complications of Pregnancy - . vascular injury forearm compartment syndrome resulting in volkmanns, OPEN FRACTURES COMPLICATIONS: OSTEOMYELITIS, RAD 422 Fractures Types, Complications, and management - . - of major fracture lines Allows references regarding the probable points of stability for surgical treatment Does or revision Principles First Aid | PowerPoint PPT presentation | free to view. 2010 Jun. Obesity measured by BMI or, Waist-Hip ratio of >1 is associated with increased risk of multiple, 3) Sitting Imbalance and Limb length discrepancy, 5) Neurological complications relating to lumbosacral plexus, Do not sell or share my personal information. 1-General complications: shock..etc 2-Local complications: Early Late. Even after good surgical interventions excellent, results are found in less than 60% cases. They'll give your presentations a professional, memorable appearance - the kind of sophisticated look that today's audiences expect. It's FREE! This article will examine the major late complications involved in the care of mandibular fractures including problems with bony healing, infection, loss of teeth, malocculsion, residual facial deformities, nerve injuries, and resulting temporomandibular joint (TMJ) problems. http://hastaneciyiz.blogspot.com. PowerPoint PPT presentation. Clinical features Deformity & shortening of the limb Limitation of movements Treatment Angulation in a long bone (> 15 degrees) Osteotomy & internal fixation Marked rotational deformity Osteotomy & internal fixation Shortening (> 3cm) in 1 of the lower limbs A raised boot OR Bone operation, JOINT STIFFNESS Common complication of fracture Treatment following immobilization Common site : knee, elbow, shoulder, small joints of the hand Causes Oedema & fibrosis of the capsule, ligaments, muscle around the joint Adhesion of the soft tissue to each other or to the underlying bone (intra & peri-articular adhesions) Synovial adhesions d/t haemarthrosis, Treatment Prevention : - Exercise - If joint has to be splinted Make sure in correct position Joint stiffness has occurred: - Prolonged physiotherapy - Intra-articular adhesions Gentle manipulation under anaesthesia followed by continuous passive motion - Adherent or contracted tissues Released by operation, MYOSITIS OSSIFICANS Heterotopic ossification in the muscles after an injury Usually occurs in Dislocation of the elbow A blow to the brachialis / deltoid / quadriceps Causes (thought to be due to) muscle damage Without a local injury (unconscious / paraplegic patient), Clinical features Pain, soft tissue tenderness Local swelling Joint stiffness Limitation of movements Extreme cases: - Bone bridges the joint - Complete loss of movement (extra-articularankylosis) X-Ray Normal Fluffy calcification in the soft tissue, Treatment Early stage : Joint should be rested Then : Gentle active movements When the condition has stabilized : Excision of the bony mass Anti-inflammatory drugs may joint stiffness, Circumscribed bone necrosis Causes Interruption of the arterial blood flow Slowing of the venous outflow leading to inadequate perfusion Common site : Femoral head Femoral condyls Humeral head Capitulum of humerus Scaphoid (proximal part) Talus (body) Lunate AVASCULAR NECROSIS, Conditions associated with AVN Perthes disease Epiphyseal infection Sickle cell disease Caisson disease Gauchers disease Alcohol abuse High-dosage corticosteroid, Clinical features Joint pain, stiffness, swelling Restricted movement X-Ray bone density Subarticular fracturing Bone deformity, Treatment Avoid weight bearing on the necrotic bone Revascularisation (using vascularised bone grafts) Excision of the avascular segment Replacement by prostheses, ALGODYSTROPHY(COMPLEX REGIONAL PAIN SYNDROME) Previosly known as Sudecks atrophy Post-traumatic reflex sympathetic dystrophy Usually seen in the foot / hand (after relatively trivial injury) Clinical features Continuous, burning pain Early stage : Local swelling, redness, warmth Later : Atrophy of the skin, muscles Movement are grossly restricted, X-Ray Patchy rarefaction of the bones (patchy osteoporosis) Osteoporosis Algodystrophy, Treatment Physiotherapy (elevation & active exercises) Drugs - Anti-inflammatory drugs - Sympathetic block or sympatholytic drugs (Guanethidine), OSTEOARTHRITIS Post-traumatic OA Joint fracture with severely damaged articular cartilage Within period of months secondary OA Cartilage heals Irregular joint surface may caused localized stress secondary OA Years after joint injury, Clinical features Pain Stiffness Swelling Deformity Restricted movement Treatment Pain relief : Analgesics Anti-inflam agent Joint mobility : Physiotherapy Load reduction : wt reduction Realignment osteotomy (young pt) Arthroplasty (pt > 60yr), 2022 SlideServe | Powered By DigitalOfficePro, - - - - - - - - - - - - - - - - - - - - - - - - - - - E N D - - - - - - - - - - - - - - - - - - - - - - - - - - -. You might even have a presentation youd like to share with others. You might even have a presentation youd like to share with others. delayed unioun non. Title: Complications of Fractures 1 Complications of Fractures Non-union DVT Damage to Nerves and Blood Vessels Compartment Syndrome Fat Emboli Infection (Osteomyelitis) 2 Clinical Decisions Bobbie, age 14, was admitted with fx left tibia about 10 hrs age. - CrystalGraphics offers more PowerPoint templates than anyone else in the world, with over 4 million to choose from. - Fractures and dislocations of the shoulder girdle and elbow and fractures of the humerus H. Sithebe Anterior shoulder dislocation Two Views. description. closed. LATE COMPLICATIONS DELAYED UNION When a fracture takes more than usual time to unite, it is said to have . difference between logistics and supply chain management ppt. Normally fractures unite within 2 to 5 months.Average times for fracture healing. general, Complications of Supracondylar Fractures - . Late complications of fractures Outlines Delayed unioun Non union Malunion Avascular necrosis Osteoarthiritis Shortening f Normally fractures unite within 2 to 5 months. The PowerPoint PPT presentation: "Complications of Fractures" is the property of its rightful owner. Late complications Late complications are those which occur after a substantial time has passed and are as a result of defective healing process or because of the treatment itself. It has millions of presentations already uploaded and available with 1,000s more being uploaded by its users every day. age under 17 over 35 gravida and parity socioeconomic, Complications of Pregnancy - . - Femoral Neck Fractures Anatomy Physeal closure age 16 Neck-shaft angle 130 7 Anteversion 10 7 Calcar Femorale Posteromedial General complications of fractures presented by: Anas AL-Karasneh, - Title: General complication of fractures presented by: Tahrir Abu Rass Author: USER Last modified by. Fat embolism :Fat globules larger than 10 micro meter in diameter can enter the circulation . Complications of Diabetes, Diabetes Complications, Long-term complications of diabetes, major complications of - Do, Principles of fractures - . Late complications of fractures . Fracture ppt 1. Enumerate the early, intermediate and late complications of fractures 5th Year Medical Students, September 2008 Definition A fracture is a partial or complete break in the structural continuity of bone. AP Lateral REDUCTION POST - LES FRACTURES DU BASSIN Dr M.N. of ulna and radius. Our product offerings include millions of PowerPoint templates, diagrams, animated 3D characters and more. Three bones form the elbow joint: the humerus of the upper arm, and the paired radius and ulna of the forearm. BOUHRAOUA CHU BAB EL OUED INTRODUCTION DEFINITION Fracture de l anneau pelvien cotyle exclus ILION ISCHION PUBIS 2 HEMI-BASSINS - decribes how to evaluate and manage dorsolumbar fractures with various classification systems, - Title: GENERALITES SUR LES FRACTURES Author: 50013434 Last modified by: utilisateur Created Date: 2/8/2007 9:44:48 AM Document presentation format. spring 2012. risk factors. feinstein october 2009. simple. ; Login; Upload Weeks to months are required for most fractures, Shock, fat embolism, DVT, PE, and infection, Delayed union, reaction to internal fixation, Bone is vascular, large quantities of blood can. They are again classified into two groups:Imperfect union of the fracture others Imperfect union of the fracture They are again classified into four sub groups: Delayed Late complications of fractures 2. objectives. late complications of fractures. medical ppt. Delayed union Non-union Malunion Joint stiffness Myoisitis ossificans Avascular necrosis Algodystrophy Osteoarthritis. Winner of the Standing Ovation Award for Best PowerPoint Templates from Presentations Magazine. Know more about symptoms of stress fracture. It has millions of presentations already uploaded and available with 1,000s more being uploaded by its users every day. a bone fracture (sometimes abbreviated, Types of Fractures - . LATE COMPLICATIONS OF FRACTURES. a disruption or break in the continuity of the structure of bone traumatic injuries account, FRACTURES - . - J Pediatr Orthop. It's FREE! x-rays of fractures for salter harris, Fractures - . Complication of Fracture.ppt - Complications of Fractures Dr. Saidi S Mku lecture series COMPLICATION OF FRACTURE General Local Early Late General | Course Hero Complication of Fracture.ppt - Complications of Fractures. Bobbie, What is the medical/nursing problem of greatest, Compression of structures within a defined. PowerShow.com is brought to you byCrystalGraphics, the award-winning developer and market-leading publisher of rich-media enhancement products for presentations. Do you have PowerPoint slides to share? lecture .4. l earning objectives. Complications of the fractures :A- general complications .B- local complications .A - general complications .1- blood loss and shock .2- cardiopulmonary failure .3- fat embolism .4- DVT .5- tetanus .6- gas gangrene .7- crush syndrome . And theyre ready for you to use in your PowerPoint presentations the moment you need them. treatment of the 2 types of nonunion fractures. MALUNION Condition when the fragments join in an unsatisfactory position (unaccepted angulation, rotation or shortening) Causes Failure to reduce a fracture adequately Failure to hold reduction while healing proceeds Gradual collapse of comminuted or osteoporotic bone. Bobbie, age 14, was admitted with fx left tibia, You note p. 88,BP 89/66, r.23, t 98.6. Well convert it to an HTML5 slideshow that includes all the media types youve already added: audio, video, music, pictures, animations and transition effects. what's fracture of ulna and radius? age under 17 over 35 gravida and parity socioeconomic status, Complications of Exodontia - . classification of fractures. Wilkins KE. Outlines Delayed unioun Non union Malunion Avascular necrosis Osteoarthiritis Shortening 3. 2002;22(4):548 554. maja roman vanja niki mentor: a. mega horvat. INTRODUCTION. prof of. types of fractures:. Delayed union Non-union Malunion Joint stiffness Myoisitis ossificans Avascular necrosis Algodystrophy Osteoarthritis Joint instability Muscle contracture (Volkmanns contracture) Tendon lesions Nerve compression Growth disturbance Bed sores LATE COMPLICATIONS, DELAYED UNION Fracture that has not healed in the expected time for type of fracture, patient and method of repair Causes Inadequate blood supply Severe soft tissue damage Periosteal stripping Excessive traction Insufficient splintage Infection, Clinical features Persistent pain at fracture site Instability at fracture site Non weight bearing Disuse muscle atrophy X-Ray Visible fracture line Very little callus formation or periosteal reaction, Treatment Conservative - To eliminate any possible cause - Immobilization - Exercise Operative - Indication : Union is delayed > 6 mths No signs of callus formation - Internal fixation & bone grafting, treatment of delayed union fractures If alignment is adequate implants are stable but motion exists at fracture sites: apply rigid fixation If alignment is poor: straighten and apply rigid fixation If reduction is inadequate: treat as nonunion, NON-UNION Fracture has not healed and is not likely to do so without intervention Healing has stopped. Late Complications of Pelvic Fracture Complications of fractures of bones docortho Patel 748 views 38 slides Complications of fractures 3.pptnew Rakshith Kumar 8.7k views 58 slides Complications of fractures Subhanjan Das 47.1k views 51 slides Long bone fracture complication drghaida 4.1k views 22 slides Fractures & complications bestrnteacher 2.7k views 11 slides mohammad ararawi. If so, share your PPT presentation slides online with PowerShow.com. Principles of Fractures - . Fractures and Dislocations about the Elbow in the Pediatric Patient. Diagnose and appropriately treat ligament and bony injuries. School Jomo Kenyatta University of Agriculture and Technology, Nairobi Course Title HEALTH SCI 123 Uploaded By ConstableRam13989 RAD 422 Fractures Types, Complications, and management - Rad 422 fractures types, complications, and management. Joint instability Muscle contracture (Volkmann's contracture) Tendon lesions Nerve compression Growth disturbance Bed sores. Early Complication Local Visceral Injury Vascular Injury Nerve Injury Compartment Syndrome Haemarthrosis Infection Gas gangrene PowerShow.com is a leading presentation sharing website. Delayed union means that there are no signs of beginning of union and the fragments are mobile 3 to 4 months after injury.Signs of union: Callus formation, less mobility, less pain, and 32203, PowerPoint presentation 'Late complications of fractures' is the property of its rightful owner. - MONTEGGIA AND GALEAZZI FRACTURES ANATOMY-ELBOW Hinge joint. Joint instability Muscle contracture (Volkmanns contracture) Tendon lesions Nerve compression Growth disturbance Bed sores. And, again, its all free. type causes investigation symptoms, Fractures - . This presentaiton gives an overview on the early complications of fractures. fall 2011. risk factors. bone breaks cleanly but does not penetrate the skin. - Principles Of Fractures(2) DR. FAWZI ALJASSIR, MD, MSc, FRCSC Associate Professor Chairman, Department of Orthopedics Director, Orthopedic Surgery Research Chair, Acetabular Fractures: Surgical Management, - Acetabular Fractures: Surgical Management. About This Presentation Title: Complications of Fractures Description: Is an area of the body encased by bone or fascia . Complications of Fractures: - . 5% of long bone fractures will result in nonunion and even more in delayed union. He has a long leg cast. LATE COMPLICATIONS Delayed union Non-union Malunion Joint stiffness Myoisitis ossificans Avascular necrosis Algodystrophy Osteoarthritis Joint instability Muscle contracture (Volkmann's contracture) Tendon lesions Nerve compression Growth disturbance Bed sores. NONUNION OF FRACTURES - Introduction:. Complications of Diabetes, Diabetes Complications, Long-term complications of diabetes, major complications of diabetes, OPEN FRACTURES COMPLICATIONS: OSTEOMYELITIS, Gastroenterological View of Late Complications in Liver Transplantation. ShorteningShortening Shortening of a bone after a fracturemay occur from three causes: 1.Mal-union with overlap or markedangulation 2.Crushing or loss of bone as inseverely comminuted compressionfractures or in gunshot wound with apiece of bone shot away 3.Interference with epiphysial growthplate in children Late complications of fractures - Outlines. Presentation Creator Create stunning presentation online in just 3 steps. The use of negative-pressure wound therapy (NPWT) - Occlusion Function Facial balance Callus formation occurs quickly (5-7 days) Must be removed for proper reduction Management Condlye Fractures Self - Hand Deformities, Fractures, and palsy By Adnan AL-Maaitah http://hastaneciyiz.blogspot.com Medical ppt. Self-perpetuating edema-ischemia cycleinc. More fluid leaves capillaries than enters inc. Inc. intramuscular pressure-obstructs venous, Microcirculation ceases when compartment pressure, May develop Crush SyndromeRhabdomyolosisMyoglobi, If compartment syndrome present, elevate limb, Metabolic biochemical changes, lipids mobilized, Mechanical fat is liberated due to inc. pressure, Non-blanching petechiae at these sites late. ALGODYSTROPHY(COMPLEX REGIONAL PAIN SYNDROME). Boasting an impressive range of designs, they will support your presentations with inspiring background photos or videos that support your themes, set the right mood, enhance your credibility and inspire your audiences. . Create stunning presentation online in just 3 steps. - A stress fracture is a small crack in a bone. Finally, some of the complications we observed (such as impotence and wound infections) may have been related to the pelvic fractures themselves or to the surgical treatments used and not the result of PAE; our study design permits us only to report on association, and we are not able to draw any firm inferences regarding causation. - Fractures de l extr mit distale du radius Fractures du scapho de L interligne radio-carpien est oblique Fractures de l extr mit distale du radius - PRINCIPLES OF TREATMENT OF FRACTURES GOALS OF FRACTURE TREATMENT Restore the patient to optimal functional state Prevent fracture and soft-tissue complications Get - Ankle Fractures POTT S FRACTURE Malleolar Fractures Injuries about the ankle joint cause destruction of not only the bony architecture but also often of the - Reduce and immobilize scaphoid fractures or perilunate injuries pending definitive treatment. If so, just upload it to PowerShow.com. Therefore, reevaluation at regular . If so, share your PPT presentation slides online with PowerShow.com. fractures of teeth. Delayed union Non-union Malunion Joint stiffness Myoisitis ossificans Avascular necrosis Algodystrophy Osteoarthritis. Delayed Union a fracture that has not healed after a reasonable time period (the time in which it was expected to heal) has passed. download Report . Average times for fracture healing Upper limb Lower limb Callus visible union consolidation 2-3 weeks 4-6 weeks 6-8 weeks 2-3 weeks 8-12 weeks 12-16 weeks fDelayed Union Assessing color, temperature, cap refill time. Transcription . PowerShow.com is a leading presentation sharing website. And, best of all, it is completely free and easy to use. LATE COMPLICATIONS OF FRACTURES. PPTX, PDF, TXT or read online from Scribd, 0% found this document useful, Mark this document as useful, 0% found this document not useful, Mark this document as not useful, Save Late Complications of Pelvic Fracture For Later, Pelvic fractures, especially the unstable types, have a high rate of, late complications. PowerShow.com is brought to you byCrystalGraphics, the award-winning developer and market-leading publisher of rich-media enhancement products for presentations. Download Now, RAD 422 Fractures Types, Complications, and management, EARLY AND LATE COMPLICATIONS OF PROSTATE LOW DOSE BRACHYTHERAPY. Shock; hemorrhagic, neurogenic or septic Uploaded on Jan 05, 2020 Steven D Day + Follow complications general complications local complications vascular injuries poor blood supply severe soft tissue damage Download Presentation Many of them are also animated. Then you can share it with your target audience as well as PowerShow.coms millions of monthly visitors. It is a common complications of fractures and results from:- 1.Mal union of the long bones 2.Crushing: Actual bone loss 3.Growth defects: growth plate or epiphyseal injuries 46. Fasciotomy (surgical decompression of the fascia) Wound left open 3-5 days . dr.murat akyildiz, md assoc. An estimated 20 million are terminated in - Fractures du bassin 1.Rappel anatomique: Bassin osseux de face 2.Degr de gravit d une facture: traumatisme minime dommage invalidant de l articulation de Fractures and dislocations of the shoulder girdle and elbow and fractures of the humerus. 1-general complications: shock..etc 2-local complications: early late. LATE COMPLICATIONS OF FRACTURES. And, best of all, it is completely free and easy to use. . Stress Fractures - Causes, Symptoms and Chiropractic Care. Complications of fractures orthoprince 49.2k views 83 slides Myositis ossificans (Heterotopic Ossification) Praveen RK 983 views 46 slides Fractures & complications bestrnteacher 2.7k views 11 slides Complications of fractures of bones docortho Patel 746 views 38 slides Compartment syndrome and VIC nageshsherikar1 1.3k views 125 slides Do you have PowerPoint slides to share? Our product offerings include millions of PowerPoint templates, diagrams, animated 3D characters and more. Then you can share it with your target audience as well as PowerShow.coms millions of monthly visitors. a- immediate or operative complications. outlines. If the area becomes numb or paralysis sets in, Frequent assessment of neurovascular function, Deep throbbing pain, escalating pain ?s passive, Parethesia, (burning or tingling sensation and, Moving fingers or toes distal to the problem. Fracture gap is filled by fibrous tissue (pseudoarthrosis), causes of nonunion Instability at fracture site inadequate method of stabilization, inadequate postop care Inadequate blood supply at fracture Poor surgical technique following open reduction, following trauma at time of frature Infection Excessive gap at fracture site Bone loss, distracting force not counteracted by method of fixation, bone loss from ischemia or infection Excessive postop use of limb Use of improper metals or combinations of dissimilar metals Excessive quantities of implants, Clinical features Painless movement at the fracture site No pain at fracture site Instability at fracture site May be weight bearing with pseudoarthrosis X-Ray Fracture is clearly visible Fracture ends are rounded, smooth and sclerotic Atrophic non-union :- Bone looks inactive (Bone ends are often tapered / rounded) - Relatively avascular Hypertrophic non-union : - Excessive bone formation ` - on the side of the gap - Unable to bridge the gap, Hypertrophic non-union Atrophic non-union, treatment of the 2 types of nonunion fractures. Joint instability Muscle contracture (Volkmann's contracture) Tendon lesions Nerve compression Growth disturbance Bed sores. Normally fractures unite within 2 to 5 months. a fracture that has not healed after a reasonable time period (the time in which it was expected to heal) has passed. Chiropractic care helps in the treatment of stress fractures and their prevention. dr. abdulrahman algarni , md, ssc (ortho), abos assist. 5th Year Medical Students, September 2008 Introduction "All fractures unite: some how, some when. 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