Nonunion of the Femur and Tibia: An Update

Anthony Bell, David Templeman, John C. Weinlein

Research output: Contribution to journalReview articlepeer-review

59 Scopus citations


Delayed union and nonunion of tibial and femoral shaft fractures are common orthopedic problems. Numerous publications address lower extremity long bone nonunions. This review presents current trends and recent literature on the evaluation and treatment of nonunions of the tibia and femur. New studies focused on tibial nonunion and femoral nonunion are reviewed. A section summarizing recent treatment of atypical femoral fractures associated with bisphosphonate therapy is also included.

Original languageEnglish (US)
Pages (from-to)365-375
Number of pages11
JournalOrthopedic Clinics of North America
Issue number2
StatePublished - Apr 1 2016


  • Atypical femur fractures
  • Bisphosphonates
  • Bone grafting
  • Dynamization
  • Exchange nailing
  • Femoral nonunion
  • Nonunion
  • Tibial nonunion


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