Prevention of nonunions is based on complete understanding of both biological and mechanical aspects of bone callus formation; it requires a good control of fracture treatment technique, which has to be most accurate from the start following the classic rules of reduction and immobilization . Prevention is also based on accurate soft tissue reconstruction (in fractures with soft tissue loss), functional loading as soon as possible, and infection risk control by all necessary means (and disregarding all unnecessary ones) because surgical site infection is the leading complication of surgery . It has been reported that the operative treatment of a closed fracture elevates infection risk by 1.2%  (Figs. 1?4).
|Title of host publication||Nonunion of the Long Bones: Diagnosis and Treatment with Compression-Distraction Techniques|
|Number of pages||12|
|ISBN (Print)||884700408X, 9788847004085|
|Publication status||Published - 2006|
ASJC Scopus subject areas