Rates of union and risk factors for continued nonunion following exchange nailing of tibial nonunion - Takeaways - MDSpire

Rates of union and risk factors for continued nonunion following exchange nailing of tibial nonunion

  • By

  • Julia C. Mastracci

  • Benjamin Averkamp

  • Matthew Braswell

  • Ziqing Yu

  • Andrew T. Chen

  • Roman M. Natoli

  • Hassan Farooq

  • Hassan Mir

  • Jessica Rivera

  • Rachel B. Seymour

  • Joseph R. Hsu

  • May 9, 2026

  • 0 min

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  • 1

    Nonunion rates after tibial exchange nailing vary, with reported union percentages between 76% and 96% for aseptic diaphyseal fractures.

  • 2

    High energy mechanisms and open fractures significantly increase the risk of nonunion in tibial fractures compared to other skeletal injuries.

  • 3

    The study analyzed 63 patients with tibia nonunions treated at five Level 1 academic medical centers between 2008 and 2020.

  • 4

    Patients with tibia nonunions experience increased pain, reduced quality of life, and higher healthcare costs compared to those achieving union.

  • 5

    Statistical evaluations were performed to identify risk factors associated with nonunion repair success after tibial exchange nailing.

Original Source(s)

Rates of union and risk factors for continued nonunion following exchange nailing of tibial nonunion

  • by Julia C. Mastracci, Benjamin Averkamp, Matthew Braswell, Ziqing Yu, Andrew T. Chen, Roman M. Natoli, Hassan Farooq, Hassan Mir, Jessica Rivera, Rachel B. Seymour, Joseph R. Hsu

  • May 9, 2026

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