I met with an accident ultimate month which broke my toe fingers. The neck of all the fingers except the first and end were broken. The last finger have a hair line fracture. I could not grasp that it is a fracture. Immediately after the fracture I started my two wheeler and came back to house within the same condition. There was strain in toe. I walked within the same way for three days. On the third hours of daylight I took Xray and consulted MS ortho who applied POP on the leg upto knee. He suggested rest for one month. Yesterday on the twenty second day of the fluke I took Xray of the toe from two different angles. The report states apart from other things a ".malunion". My querry is What is malunion. How and why it happens. was in attendance any carelessness by the doctor. Is there any procedure which be not done. I am thinking that I should have gone to the street side bone setter instead of consulting the MS or tho. Whether treatment depends on the degree of malunion save what is the other option.
Answer:   

Ring around my wrist?

1. Fracture: Malunion fundamentals

“Malunion” is a clinical term used to indicate that a fracture have healed, but that it has heal in less than an optimal position. This can transpire in almost any bone after fracture and occurs for several reason.

Malunion may result in a bone being shorter than mundane, twisted or rotated in a bad position, or bent. Many times adjectives of these deformities are present in duplicate malunion.

Malunions can also occur in areas where on earth a fracture has displaced the surface of the joint. When this happen, the cartilage in the joint is no longer smooth. This may rationale pain, joint degeneration, “post-traumatic arthritis” or catching or “giving-way” episodes resulting from instability or incongruency of the common.

2. What are the symptoms?

o Swelling
o Pain
o Tenderness
o Deformity
o Difficulty bearing weight

3. What are my treatment option?

In almost all situations, treatment involves cutting the bone, at or close at hand the site of the original fracture. The cut or “osteotomy” is done to correct the mal-alignment. In addition, some support method of fixation must be used to hold the bones in the desired position. This fixation may require plates, rods, or an external frame with pins.

Mal-unions that include shortening of the bone repeatedly require some method for bone lengthening.

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