What is it?
After a fracture, the bone may fail to heal (non-union) or heal out of position (malunion). The joint may also become arthritic after the injury (post-traumatic arthritis).
What causes it?
- Smoking.
- Diabetes.
- Infection.
- A poor blood supply to the bone.
- Fractures that were unstable or did not heal in the right position.
Common symptoms
- Ongoing pain, swelling or deformity after a fracture.
- Stiffness.
- Difficulty walking.
How is it diagnosed?
Assessment includes X-rays and a CT scan. Blood tests are sometimes used to check for infection.
Things you can do now
- Stop smoking, as it slows bone healing
- Eat a balanced diet with enough protein, calcium and vitamin D
- Bring all X-rays and operation notes to your appointment
Treatment
Treatment is tailored to your individual needs, symptoms and goals. Depending on your situation, it may include addressing factors that slow healing, such as smoking or low vitamin D, bracing, revision surgery with bone grafting, corrective surgery to realign the bone and fusion or joint replacement.
Mr Jeyaseelan will talk you through the options that are right for you at your consultation.
When to see a specialist
- A fracture is still painful months after the injury
- The foot or ankle has healed in a different shape
- Ongoing pain, stiffness or swelling after a fracture
What to expect
Most fractures that are slow to heal can be helped by addressing the cause and, if needed, revision surgery. Healed deformity can often be corrected.
Common questions
Where can I see a specialist about non-union, malunion & post-traumatic arthritis in London?
Mr Lucky Jeyaseelan, a consultant orthopaedic surgeon who specialises only in the foot and ankle, sees private and insured patients with non-union, malunion & post-traumatic arthritis at Align Orthopaedics on Harley Street, The London Clinic on Devonshire Place, HCA London Bridge Hospital, HCA UK at The Shard, HCA UK City of London on Old Broad Street and The Holly Hospital in Buckhurst Hill, Essex. See all clinic locations or request an appointment.
Do I need a GP referral?
Self-funding patients can book directly, though a GP letter is helpful. Most insurers need a GP referral before they authorise your consultation, so check with yours first.
This information is general and is not a substitute for a medical consultation. Your diagnosis and treatment plan will be tailored to you.