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Background And Aim: The currently available atrophic non-union models rely on wide segmental excision of bone diaphysis to impede the process of healing but lack resemblance to the clinical scenario. The present study focused on developing an model of atrophic non-union fracture in rabbit radius that can replicate the clinical scenario.
Materials And Methods: The atrophic non-union fracture model was developed by creating a 10 mm segmental bone defect in the radial diaphysis of five adult New Zealand White rabbits. The periosteum (2 mm) of the cut bone ends was cauterized using electrocautery to induce atrophy. Atrophic non-union was confirmed using radiographic and histologic evaluations on 30th postoperative day.
Results: The radiographic signs of healing were completely absent in all the rabbits on 30th postoperative day, indicating inert bone ends. Histological findings further confirmed the presence of inert bone ends, indicating the development of atrophic non-union.
Conclusion: The combination of the segmental bone defect, electrocautery induced thermal damage of bone end periosteum, and delayed treatment can induce the development of atrophic non-union fracture model in rabbits that can replicate the clinical scenario.
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http://dx.doi.org/10.1016/j.amsu.2021.102558 | DOI Listing |
Cureus
June 2025
Department of Orthodontics, Kothiwal Dental College and Research Centre, Moradabad, IND.
Fracture of the edentulous mandible presents a significant clinical challenge due to anatomical alterations, reduced bone density, and lack of natural occlusal support, particularly in elderly patients with comorbidities. This systematic review aimed to evaluate and synthesize the available evidence on the treatment of edentulous and atrophic mandibular fractures, focusing on clinical outcomes, treatment success, and associated complications. A comprehensive search of four electronic databases was conducted to identify studies published between 1995 and 2024.
View Article and Find Full Text PDFEur J Nucl Med Mol Imaging
August 2025
Department of Trauma Surgery, University of Groningen, University Medical Center Groningen, Groningen, The Netherlands.
Objective: Evaluation of bone healing potential in cases of delayed union or non-union remains a challenge. This study evaluated the use of [F]NaF PET/CT to assess bone healing and its role in guiding clinical decision-making in orthopaedic trauma surgery.
Methods: From June 2019 to December 2024, a prospective study was conducted in a level 1 trauma center.
Diseases
March 2025
Physiology Laboratory, Medical School, National and Kapodistrian University of Athens, 11527 Athens, Greece.
Pseudoarthrosis-the failure of normal fracture healing-remains a significant orthopedic challenge affecting approximately 10-15% of long bone fractures, and is associated with significant pain, prolonged disability, and repeated surgical interventions. Despite extensive research into the pathophysiological mechanisms of bone healing, diagnostic approaches remain reliant on clinical findings and radiographic evaluations, with little innovation in tools to predict or diagnose non-union. The present review evaluates the current understanding of the genetic and biological basis of pseudoarthrosis and highlights future research directions.
View Article and Find Full Text PDFBMJ Case Rep
March 2025
Orthopaedic surgery, University of Leeds, Leeds, England, UK
Distal femoral non-union presents significant challenges, often requiring complex treatment strategies to achieve bone healing. In this case, a young male patient with an open fracture of the distal femur developed an atrophic non-union, 9 months after initial fixation. The patient underwent surgical intervention with debridement, leading to a 2.
View Article and Find Full Text PDFActa Chir Belg
June 2025
Department of (Trauma) Surgery, Zuyderland Medical Center, Heerlen, The Netherlands.
Background: Tibial fractures, with an annual incidence of 51.7 per 100.000 adults, often result in complications like non-union and infection, particularly in open fractures.
View Article and Find Full Text PDF