The MIPO technique for fracture of distal tibial fracture was an established procedure with less incidence of delayed union
, non-union, skin complications and infections because of less disturbance to bone vascularity and soft tissue damage around fracture site during surgery.
Since these fractures do not heal by formation of much external callus and vascularity of these fractures is impaired because of the large bone surface covered with articular cartilage, delayed union
, nonunion, or avascular necrosis are not unexpected complications of these fractures, especially in type II fractures.
Additionally, certain bone conditions such as non-union and delayed union
fractures and avascular necrosis of the head of the femur would be billed under this code.
When open reduction and internal fixation is attempted with classical plates, it requires a quite larger incision causing extensive soft tissue dissection and periosteal injury and was associated with high rates of infection, delayed union
1,6-8) Those promoting primary operative management believe the high rate of delayed union
and nonunion associated with the unstable type II injury to be unacceptable.
7, 1995--OrthoLogic (NASDAQ:OLGC) Thursday announced that it has completed interim analysis of its delayed union
fracture clinical study which utilized the OrthoLogic(R) 1000.
Type 2 displaced fracture of distal end clavicle have extremely high rate of delayed union
No one can predict the long-term outcome of untreated trapezoid fractures, though delayed union
, (11) symptomatic nonunion, (8) malunion, or AVN are all possibilities that can lead to long-term functional impairment.
In 2 patients, (10%) delayed union
occurred which united at the end of 16 weeks each.
11 Of the twelve patients treated nonoperatively, a delayed union
developed in eight and a nonunion in four.
of Cases Percentage Restriction of ROM of 4 30 shoulder Infection 0 0 Bursitis 0 0 Subacromial impingement 0 0 Delayed union
2 16 Non-union 0 0 Table 8: Evaluation of Cases Treated by Interlocking Nail Total No.
Osteopetrosis is a rare disease, mild autosomal recessive to severe autosomal dominant; treated symptomatically always try for conservative management, as delayed union
is noticed in surgical management.