A series of six cases of ununited fracture of
the tibia and fibula is reported: each case history
is followed by a short discussion of its particular
features: the Commentary is a general review of the
subject of ununited fracture.
1. The most common cause of delayed union or nonunion
is absence of complete and sufficiently prolonged
immobilisation. Infection of the area of
healing is also a common cause of delay.
2. The best treatment for delayed union is prolonged
complete immobilisation, preceded by sequestrectomy
3. The best treatment for non-union is drilling of
the bone ends by Beck's method. If this fails,
a sliding cortical graft is indicated.