Orthonotes
Orthonotes
by the.bonestories
v3.0 Fusion
v3.0 Fusion
trauma topic hub

Nonunion — Weber & Cech Classification

Viable (hypertrophic/oligotrophic) vs non‑viable (atrophic, necrotic, defect, comminuted). Radiographic callus indicates biology; absence suggests poor biology. Guides treatment: stability alone for viable; add graft/biologics for non‑viable. viable → improve stability; nonviable → improve stability + add biology.

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Viable (hypertrophic/oligotrophic) vs non‑viable (atrophic, necrotic, defect, comminuted). Radiographic callus indicates biology; absence suggests poor biology. Guides treatment: stability alone for viable; add graft/biologics for non‑viable. viable → improve stability; nonviable → improve stability + add biology.
MCQs

High-yield practice questions

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Question 1

What is the primary classification system used to categorize nonunions based on biological activity?

Question 2

In the Weber & Cech classification, which type of nonunion is characterized by excellent vascularity and abundant callus?

Question 3

What is the primary treatment principle for a hypertrophic nonunion?

Question 4

Which type of nonunion is defined by the presence of some vascularity but minimal callus formation?

Question 5

Which of the following factors is NOT part of the 'diamond concept' that contributes to fracture healing?

Question 6

What is the recommended treatment for an oligotrophic nonunion?

Question 7

Which of the following conditions is considered a systemic factor that can contribute to nonunion?

Question 8

In the context of nonunion treatment, what is the significance of radiographic callus formation?

Question 9

Which type of nonunion is characterized by a lack of vascularity and biological activity, often requiring both stabilization and biological intervention?

Question 10

What is the FDA definition of a nonunion?