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How serious is a Bone Graft? Bones not healing...

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How serious is a Bone Graft? Bones not healing...
Posted: 09-09-06 19:17pm

My 10 year old daughter broke her arm beneath the growth plate earlier this summer. She wore a cast for most of the summer and it was removed & we went through pt. At our follow up appointment, the doctor told us that she still had a small fracture that has not healed. He did a CT and it said she needed to be in a cast for a while longer & hope that it heals. If it doesn't heal, he would discuss a bone graft. My question is what could have caused it not to heal? How serious is a bone graft? Could hormones play a part in the cartliage not turning to bone? I just can't find any information on the net about such breaks and want to find out as much information as I can.


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Orthopedics, Hip, Knee Replacements Answer A1509
Posted: 09-19-06 07:50am

There are general and local factors that can have a negative impact on the healing of a broken bone.
GENERAL negative factors can be: hormonal (hypothyroidism); central and peripheral nerve paralyses; bad nutrition (avitaminoses, hypo-proteinemia, anemia, starving); degenerative diseases (osteoporosis), etc.
LOCAL negative factors are: bad reposition (broken parts are not brought close enough and not connected properly); bad immobilization (connection between the broken parts is not stable); multi-fragmental fractures; severe damage of the surrounding soft tissue; infection; interposition of soft tissue between the bone fragments etc.
Bone grafts can be used for treating an un-healed bone fracture. A bone graft improves ossification of the connection between broken parts. A piece of the patient’s or a donor’s bone is taken and put between the parts of the broken bone.
In your daughter’s case, I can’t say what caused an incomplete healing of the fracture. You can consult an orthopedist for follow up and further advice.



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