Journal of Orthopaedics and Spine

ORIGINAL ARTICLE
Year
: 2019  |  Volume : 7  |  Issue : 2  |  Page : 62--67

Study on risk factors affecting nonunion of fractures


Giridharan Shanmugam1, M Sivasubramanian1, V Kabilan1, S V Pavan Kumar1, K Caroline Priya2, Seenivasan Poikailawar1 
1 Department of Community Medicine, Dr. M.G.R. Medical University, Chennai, Tamil Nadu, India
2 Department of Community Medicine, Dr. M.G.R. Medical University; Department of Community Medicine, Government Stanley Medical College, Chennai, Tamil Nadu, India

Correspondence Address:
Dr. Giridharan Shanmugam
Geetha Villa, No. 26, Thulukanathamman Koil Street, Kottur, Chennai - 600 085, Tamil Nadu
India

INTRODUCTION: Nonunion is one of the most common complications of fracture healing. The incidence of nonunion is believed to vary from 5% to 10%. AIM: The aim of the research is to study the risk factors affecting nonunion of fractures and analyze the treatment taken, and it is bearing on nonunion. MATERIALS AND METHODS: The study is a cross-sectional observational study with purposive sampling done in the orthopedic department. A total of 71 patients were selected, and a questionnaire was filled in with data obtained from the patient and medical records. Radiological evidence was also used to confirm the nonunion. RESULTS: The sample included 48 men and 23 women. Of the females, 21 had attained menopause (91%). About 58% of the patients had taken treatment from Traditional Bone Setters (TBS), and 49% of the patients first went to a TBS before coming to the allopathic physician for fracture treatment. About 45% of the patients had a very short duration of immobilization of their fractures. A history of previous malignancy, bone cyst, or other illnesses lead to a longer time for recovery and return to work (P = 0.0339). Patients who had infected fractures had a significantly more number of surgeries than those without infection (P = 0.015). Nonsteroidal anti-inflammatory drugs use during treatment of fracture was also associated with nonunion (P = 0.0077), especially in allopathic medicine. CONCLUSION: Nonunion continues to be a significant problem for all orthopedic surgeons despite their best ability to prevent them. A complete examination of the patient with relevant investigations and selection of the most suitable and appropriate treatment for each individual should be carried out; since each person is unique, and every fracture is not alike.


How to cite this article:
Shanmugam G, Sivasubramanian M, Kabilan V, Kumar S V, Priya K C, Poikailawar S. Study on risk factors affecting nonunion of fractures.J Orthop Spine 2019;7:62-67


How to cite this URL:
Shanmugam G, Sivasubramanian M, Kabilan V, Kumar S V, Priya K C, Poikailawar S. Study on risk factors affecting nonunion of fractures. J Orthop Spine [serial online] 2019 [cited 2021 May 17 ];7:62-67
Available from: https://www.joas.org.in/article.asp?issn=2666-7150;year=2019;volume=7;issue=2;spage=62;epage=67;aulast=Shanmugam;type=0