Prediction of non union in diaphysis of long bones in adults

Abstract

Abstract Purpose The study was conducted to analyze the feasibility of Rust and Modified Rust score to predict non union in adult long bones. Methods Literature was searched using Pubmed and articles pertaining to prediction of long bones studied. In this study randomized patients were prospectively analyzed and selected for radiographic RUST and Modified Rust scores, after internal fixation of fractures of tibia, humerus and femur. Results 64 patients were analyzed out of which 16 cases were lost in follow up. Out of 48 patients,we predicted 6 non union cases out of which 2 patients underwent dynamization and 1 pat injPRP. The remaining 3 developed non union. Rust score and Modified Rust scores are good tools for prediction on nonunion in adult long bones. Conclusion Our rate of non union was 6.25% which is within the nonunion rate published in the literature.