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Trauma
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X-Type

Nonunion Management

Bone Healing and Complications

A 34-year-old male presents 9 months after open reduction and internal fixation of a midshaft tibial fracture. He has persistent pain at the fracture site and inability to weight-bear. Plain radiographs show a gap at the fracture site with sclerotic, rounded bone ends and no callus formation. There is no evidence of hardware failure or infection. Regarding nonunion classification and management:

Mark each as TRUE or FALSE

A

The Weber-Cech classification divides nonunions into viable (hypertrophic, normotrophic, oligotrophi...

B

This patient has an atrophic nonunion characterized by sclerotic, rounded bone ends without callus; ...

C

Hypertrophic nonunions are caused by infection and always require bone grafting; the characteristic ...

D

BMPs (Bone Morphogenetic Proteins) are osteoinductive growth factors; rhBMP-2 and rhBMP-7 are FDA-ap...

E

The Reamer-Irrigator-Aspirator (RIA) system provides large volumes of autologous bone graft from the...

Answer the questions to see explanations

Click T (True) or F (False) for each option