[Update on non-unions 2022 : Imaging diagnostics, classification and treatment algorithms]
Michael Grunert1,2, Carsten Hackenbroch3,4, Falk von Lübken5
1Klinik für Nuklearmedizin, Bundeswehrkrankenhaus Ulm, Ulm, Deutschland.
Unfallchirurgie (Heidelberg, Germany)
|July 7, 2022
Summary
Diagnosing non-union fractures requires advanced imaging techniques and standardized classification. This approach ensures optimal surgical treatment for complex fracture healing, improving patient outcomes.
Area of Science:
- Orthopedics
- Radiology
- Regenerative Medicine
Background:
- Fracture healing is a complex biological process.
- Non-union, a fracture failing to heal, has multifactorial causes.
- Diagnostic imaging is crucial for understanding fracture biology and morphology.
Purpose of the Study:
- To highlight the importance of fracture healing knowledge.
- To emphasize targeted radiological and nuclear medical diagnostics.
- To underscore the need for interdisciplinary standardized classification for optimal treatment.
Main Methods:
- Presentation of established and modern diagnostic procedures.
- Overview of current scoring and classification models.
- Discussion of the extended "diamond concept" for therapeutic approach.
Main Results:
- Targeted radiological and nuclear medical diagnostics are essential for treating pseudarthrosis (non-union).
- Newer methods like dynamic contrast-enhanced MRI (DCE-MRI) and hybrid imaging are vital.
- Exact classification of non-unions aids in early determination of optimal surgical treatment.
Conclusions:
- Successful non-union treatment relies on precise radiological and nuclear medical diagnostics.
- Advanced imaging techniques, including DCE-MRI and hybrid imaging, are necessary.
- Utilizing classification models enables early and optimal surgical intervention for non-unions.
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