Define
When fracture fragment unite in unsatisfactory position it is malunion
Cause
Adequate reduction failed
Reduction not maintained
Close reduction of #
Excessive comminuted fracture
Unchecked muscle pull
Fracture unnoticed
Gradual collapse of osteoporotic bone
Site
@SPICCe
Supra condylar #
Proximal tibia #
Intertrochanteric #
Clavicle #
Colle’s#
Clinical feature
Obvious deformity
Angulation
Rotation
Refracture
Assymetry of limbs
X ray
White # line
Tt
Anatomical reduction
If rotational misalignment in children - it cant be reduced
Refracturing and fixing with implants
Corrective osteotomy
Limb lengthening