Suggest Treatment For Non-healing Fracture

Posted on Wed, 11 May 2016

Medically reviewed by Ask A Doctor - 24x7 Medical Review Team

Wed, 11 May 2016 Answered on

Tue, 21 Jun 2016 Last reviewed on

Question : 60 days fracture! question is
is it well healing ?
how long should we wait to remove the cast?

Answered by Dr. Dr. Ivan Romich (-5 hours later)

Brief Answer:
not healing well

Detailed Answer:
Hi and welcome.
This photo of xrays shows still non-healed fracture and the beginning of pseudoarhrosis. My personal opinion is that it should have been surgically repaired initially with plate and screws or tibial nail since this was unstable fracture with certain degree of dislocation. At this point, after 2 months, there should be better bone formation in fracture gap so this is not promising healing and I think you should reconsider surgery. Wish you good health. Regards

Above answer was peer-reviewed by : Dr. Naveen Kumar

Follow up: Dr. Dr. Ivan Romich (19 minutes later)

shall we wait for another two weeks or go for surgery?

Answered by Dr. Dr. Ivan Romich (19 minutes later)

Brief Answer:
thats your decision

Detailed Answer:
Hi.
Nothing will happen if you wait for week or two,and surgery can be delayed for some time,but I dont think you should expect any improvement on conservative therapy.

Above answer was peer-reviewed by : Dr. Naveen Kumar