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The risk of non-union per fracture: current myths and revised figures from a population of over 4 million adults

Open access
Mills, Leanora A, Aitken, Stuart A, Simpson, A Hamish R W·2017·Acta Orthopaedica

Abstract

Background and purpose - Fracture non-union remains a major clinical problem, yet there are no data available regarding the overall risk of fractures progressing to non-union in a large population. We investigated the rate of non-union per fracture in a large adult population. Methods - National data collected prospectively over a 5-year period and involving just under 5,000 non-unions were analyzed and compared to the incidence of fracture in the same period. Results and interpretation - The overall risk of non-union per fracture was 1.9%, which is considerably less than previously believed. However, for certain fractures in specific age groups the risk of non-union rose to 9%. As expected, these higher rates of non-union were observed with tibial and clavicular fractures, but-less expectedly-it was in the young and middle-aged adults rather than in the older and elderly population. This study is the first to examine fracture non-union rates in a large population according to age and site, and provides more robust (and lower) estimates of non-union risk than those that are frequently quoted.

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Metadata

Authors
Mills, L. A., Aitken, S. A., & Simpson, A. H. R. W.
Venue
Acta Orthopaedica
Published
2017-05-16
Volume
88
Issue
4
Pages
434-439
ISSN
  • 1745-3674 (ISSN-L)
  • 1745-3682
OpenAlex
W2615201841
Cited by
373
References
16
FWCI
12.98
Type
journal article
Language
en
Open access
gold

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CoChat. (2026). Citation check: The risk of non-union per fracture: current myths and revised figures from a population of over 4 million adults. https://app.cochat.ai/papers/10.1080/17453674.2017.1321351
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Mills, L. A., Aitken, S. A., & Simpson, A. H. R. W. (2017). The risk of non-union per fracture: current myths and revised figures from a population of over 4 million adults. Acta Orthopaedica. https://doi.org/10.1080/17453674.2017.1321351

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