What's the most likely diagnosis?
- 37 year-old male who sustained fracture 14 months ago
- Congenital pseudarthrosis
- Non-union
- Delayed union
- Re-fracture
- Adamantinoma
Answer:
2. Non-union
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Non-union Tibial Fracture
General Considerations
- Delayed union is the term applied when a fracture has not healed within the period of time that would be considered adequate for bone healing for that particular sites
- Holds out the promise that union will eventually occur without further intervention
- For tibial fractures, healing should occur in 16 weeks
- Non-union is the term applied to a fracture that will not unite without additional intervention
- Usually by 6-9 months for tibial fractures
- Non-union of tibia is fairly common
- Estimated to range from 2-10% of all tibial fractures
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