Study to Evaluate the Treatment Options and Clinical Outcomes of Nonunion of Long Bones

Introduction and Objective: Nonunion is a significant fracture condition. Non-union management has proven a continual challenge. The care is complicated by the accompanying bone defect, shortening, deformity, and infection. This study aimed to evaluate the treatment options and clinical outcomes of non-union in long bones. Material and Methodology: A prospective study was conducted on 31 patients with non-union of long bones admitted to an orthopedic ward in Bilawal Medical college Jamshoro.at BMCH Kotri0 Pakistan between July 2019 to July 2021. Nonunion of the tibia was reported in most patients, followed by non-union of the femur. A thorough medical history was taken, and a clinical and radiological evaluation. The diagnosis was confirmed, and a treatment plan was devised and implemented. Results: Out of 31 treated patients, 22 were males. Mean age was observed. 40.19 ± 6.43. In this study, 58.08 % (n=18) of the patients had closed fractures, 61.30 % (n=19) were of the movable type of non-union. This study's most prevalent treatment technique was a fixation with nail plus cortico-cancellous bone grafting, used in 51.61% (n=16) patients, followed by fixation with plate plus bone grafting in 29.03% (n=09). Clinically Excellent results were observed in 28.57 % of the cases. Good results were reported in 32.14% of patients, satisfactory in 35.71% cases, and poor results in 3.57%. Conclusion: Corticocancellous bone grafting with fixation is the most common method for treating Non-Unions. Most cases are managed and treated with an excellent or good outcome.