SciELO - Scientific Electronic Library Online

vol.8 número2Short-segment posterior instrumentation of thoracolumbar fractures as standalone treatmentAcute dislocations of the knee índice de autoresíndice de materiabúsqueda de artículos
Home Pagelista alfabética de revistas  

Servicios Personalizados



Links relacionados

  • En proceso de indezaciónCitado por Google
  • En proceso de indezaciónSimilares en Google


SA Orthopaedic Journal

versión On-line ISSN 2309-8309
versión impresa ISSN 1681-150X

SA orthop. j. vol.8 no.2 Centurion ene. 2009




Management of septic non-unions



P Pelser

MBChB (Pret); Registrar, National Hospital, Department of Orthopaedic Surgery, University of Orange Free State, Bloemfontein, South Africa





The treatment of septic non-unions is a complex problem with high morbidity and prolonged and costly treatment with significant psycho-social implications. Good communication with the patient and individualised treatment objectives are therefore essential. With appropriate treatment and complete elimination of infection a good to excellent outcome can be expected.
This article outlines the current thoughts and recommendations for the management of septic non-union.



“Full text available only in PDF format”




1. Rodriques-Merchan EC, Forriol F. Nonunion: general principles and experimental data. Clin Orthop 2004;419:4-12.         [ Links ]

2. Jain AK, Sinha S. Infected nonunions of the long bones. Clin Orthop 2005;431:57-65.         [ Links ]

3. Babhulkar S, Pande K, Babhulkar S. Nonunions of the diaphysis of long bones. Clin Orthop 2005;431:50-6.         [ Links ]

4. LaVelle DG. Delayed union and nonunion of fractures. In: S. Terry Canale (ed). Campbell's Operative Orthopaedics vol 1. 11th Ed. Mosby;2003:3125-3166.         [ Links ]

5.. Dabov GB. Osteomyelitis. In: S. Terry Canale (ed). Campbell's Operative Orthopaedics vol 1. 11th Ed. Mosby;2003:662-85.         [ Links ]

6. Motsitsi NS. Management of infected nonunions of long bones: The last decade (1996-2006). Injury 2008;39(2):155-60.         [ Links ]

7. Cleveland KB. General principals of infection. In: S. Terry Canale (ed). Campbell's Operative Orthopaedics vol 1. 11th Ed. Mosby;2003:643-60.         [ Links ]

8. Cierny G. Infected tibial nonunions (1981-1995) The evolution of change. Clin Orthop 1999;360:97-105.         [ Links ]

9. Thonse R, Conway J. Antibiotic cement-coated interlocking nail for the treatment of infected nonunions and segmental bone defects. J Orthop Trauma. 2007 Apr;21(4):258-68.         [ Links ]

10. Tetsworth K, Cierny G. Osteomyelitis debridement techniques. Clin Orthop 1999;360:87-96.         [ Links ]

11. Rodriques-Merchan EC, Gomez-Castresana F. Internal fixation in nonunions. Clin Orthop 2004;419:13-20.         [ Links ]

12. Patil S, Montgomery R. Management of complex tibial and femoral nonunion using the Ilizarov technique, and its cost implications. J Bone Joint Surg (Br) 2006;88-B:928-32.         [ Links ]

13. Garcia-Cimbrelo E, Marti-Gonzales JC. Circular external fixation in tibial nonunions. Clin Orthop 2004;419:65-70.         [ Links ]

14. Perry CR. Bone repair techniques, bone graft and bone graft substitutes. Clin Orthop 1999;360:71-86.         [ Links ]

15. Mader JT, Shirtliff ME, et al. Antimicrobial treatment of Chronic Osteomyelitis. Clin Orthop 1999;360:47-65.         [ Links ]

16. Aaron RK, Ciombor DM, Simon BJ. Treatment of nonunions with electric and electromagnetic fields. Clin Orthop 2004;419:21-9.         [ Links ]



Dr PC Pelser
Department of Orthopaedic Surgery
Univaersity of the Free State
Tel: (051) 405-2242; Fax: (051) 430-7101



Presented at the Johnson&Johnson Registrar Congress, Durban, February 2009
No benefits of any form have been received from a commercial party related directly or indirectly to the subject of this article.
The content of this article is the sole work of the author.

Creative Commons License Todo el contenido de esta revista, excepto dónde está identificado, está bajo una Licencia Creative Commons