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Approach to Tibial Shaft Nonunions: Diagnosis and Management
Elizabeth P Wellings1, Steven L Moran, Aaron J Tande
1From the Department of Orthopedic Surgery, Mayo Clinic (Wellings and Hidden), Division of Plastic Surgery, Department of Surgery, Mayo Clinic (Moran), and the Division of Infectious Diseases, Department of Medicine (Tande).
Abstract:
The tibia is the most common long bone at risk for nonunion with an annual incidence ranging from 12% to 19%. This topic continues to be an area of research as management techniques constantly evolve. A foundational knowledge of the fundamental concepts, etiology, and risk factors for nonunions is crucial for success. Treatment of tibial shaft nonunions often requires a multidisciplinary effort. This article provides guidance based on the most recent literature that can be used to aid the treating provider in the diagnosis, workup, and management of tibial shaft nonunions.
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