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Malunion or delayed union or non- union?

2018-03-20 12:41:17
Hi, I have met with an accident on 8th October,2017 and got Humerus fractured completely on right hand. I have been treated with ORIF surgery. Then I went to clinic for follow ups. On 18th December 2017, slight deviation is noted in my bone. Doctor said this is acceptable and there is no need for reoperation. It's been 5 months right now and there is no visible callus formation on fracture sight from one side but union is visible from one side . Is it malunion or dealyed union or non-union? I have attached my latest x-ray and series of x-ray from date of surgery. I have no restrictions in movement. I have no pain. I have been investigated with low levels of B-12 and D-3. I have taking medications.
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Answers (4)

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You need revision surgery to correct the deformity and probably bone grafting as humerus is a non wieght bearing bone so after  rigid plate fixation, more callus is unlikely.
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Although humerus is a forgiving bone, still there is visible deformity on radiographs which cannot be correct along with grating in one sitting.

Answered2018-03-21 02:36:26

YESNO

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We need to see your immediate post op x-ray.   To be sure whether the fracture was like this from day one or has it started to move now...if it's recent then it needs revision

Answered2018-03-20 16:26:09

YESNO

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see a shoulder specialist if concerns

Answered2018-03-21 04:49:25

YESNO

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Needs bone graft

Answered2018-03-20 18:55:53

YESNO

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