At the Texas Joint Institute, we specialize in providing comprehensive treatment for malunion and nonunion bone fractures. Our experienced team is dedicated to helping patients regain optimal bone health and function through personalized care and advanced treatment options.

To learn more about our services or to schedule an appointment with our orthopedic surgeon, call (972) 566-5255 or contact us online.

What is a bone fracture?

A bone fracture refers to a break or a crack in a bone, which can occur due to various reasons such as trauma, repetitive stress, or underlying bone conditions. When a bone fracture happens, it is important to seek medical attention to ensure proper diagnosis and appropriate treatment.

Broken vs. fractured bone

The terms "broken" and "fractured" are often used interchangeably to describe a bone injury. Both terms refer to the same condition, indicating that a bone has sustained damage. Whether you refer to it as a broken or fractured bone, the focus remains on proper diagnosis and effective treatment.

What is the difference between nonunion & malunion?

Nonunion and malunion are terms used to describe specific complications that can occur during the healing process of a bone fracture.

Malunion fracture

In the case of a malunion fracture, the bone fails to heal in the proper alignment or position. Improper healing can result in deformity, functional limitations, and discomfort. A malunion fracture can significantly impact daily activities and overall quality of life if left untreated.

Nonunion fracture

A nonunion fracture is when the bone fails to heal completely within the expected timeframe. It can occur when inadequate blood supply, poor immobilization, infection, or other factors hinder the natural healing process. Nonunion fractures require specialized care to promote bone healing and restore functionality.

At Texas Joint Institute, we understand the challenges that malunion and nonunion fractures can pose. Our dedicated team of orthopedic specialists has extensive experience in diagnosing and treating bone conditions. We are committed to providing individualized treatment plans that promote bone healing, restore alignment, and improve overall function.

Causes of malunion and nonunion fractures

Malunion and nonunion fractures can occur due to various factors, including:

  • Severe trauma or high-impact injuries
  • Inadequate immobilization or insufficient stability
  • Infection at the fracture site
  • Poor blood supply to the affected area
  • Smoking
  • Certain medical conditions that can impede the healing process

At Texas Joint Institute, our experienced orthopedic specialists will thoroughly evaluate the underlying causes of your malunion or nonunion fracture. Our comprehensive approach allows us to develop an appropriate treatment plan tailored to your condition.

Symptoms of nonunion & malunion fractures

There are several signs and symptoms that can indicate a broken bone. Here are the most common ones based on the types of fracture:

Malunion fracture

The symptoms of a malunion fracture may include:

  • Visible deformity or misalignment of the affected bone
  • Pain and discomfort, especially during movement
  • Limited range of motion or functional limitations
  • Difficulty bearing weight on the affected limb

Nonunion fracture

In the case of a nonunion fracture, the following you may have the following symptoms:

  • Continued pain and discomfort at the fracture site
  • Persistent swelling or tenderness
  • Limited healing progress despite sufficient time
  • Difficulty with weight-bearing or engaging in normal activities

If you are experiencing any of these symptoms, consult our orthopedic specialists at Texas Joint Institute for a comprehensive evaluation and personalized treatment plan.

Non-surgical treatments for fractures

When treating malunion and nonunion fractures, your doctor may consider non-surgical treatment options depending on the specific circumstances and severity of the fracture.

Malunion fracture

For malunion fractures, non-surgical treatment options may include:

  • Immobilization: The use of casts, braces, or splints to restrict movement and promote proper alignment of the bone.
  • Physical therapy: Targeted exercises and rehabilitation techniques to improve range of motion, strengthen surrounding muscles, and enhance overall functionality.
  • Medications: Pain management medications or anti-inflammatory drugs to alleviate discomfort and reduce inflammation in the affected area.

Nonunion fracture

Nonunion fractures may require additional non-surgical treatment approaches, such as:

  • Electrical bone stimulation: The use of low-intensity electrical currents to stimulate bone healing and encourage the formation of new bone tissue.
  • Ultrasound therapy: Applying high-frequency sound waves to the fracture site to promote bone regeneration and accelerate healing.
  • Medications: Certain medications, such as bone-stimulating drugs, may be prescribed to enhance healing and stimulate bone growth.

At Texas Joint Institute, our orthopedic specialists will carefully evaluate your fracture and recommend the most suitable non-surgical treatment options to promote healing and restore functionality.

When you may need surgery for a fracture

In some cases, surgical intervention may be necessary to address malunion and nonunion fractures. The decision to do the surgery will depend on factors such as the extent of the fracture, the severity of the misalignment or non-healing, and the individual patient's needs.

Malunion fracture

Treatment for malunion fractures will depend on how the injury occurred. Surgical treatments for malunion fractures may involve:

  • Fracture reduction: Realigning the bone through surgical manipulation to ensure proper alignment and restore normal bone structure.
  • Internal fixation: Using plates, screws, rods, or other devices to stabilize the fracture and promote healing.

Nonunion fracture

Nonunion fractures may require more extensive surgical procedures, including:

  • Bone grafting: The transplantation of healthy bone tissue from another part of the body or a donor source to stimulate new bone growth at the nonunion site.
  • External fixation: Using an external device, such as a frame or pins, to stabilize the fracture and create an optimal environment for bone healing.
  • Revision surgery: In cases where previous surgical attempts to treat the nonunion fracture have been unsuccessful, revision surgery may be necessary to address underlying issues and promote healing.

At Texas Joint Institute, our experienced orthopedic surgeons have expertise in various surgical techniques for malunion and nonunion fractures. We will carefully evaluate your condition and recommend the most appropriate surgical approach to facilitate proper bone healing and restore optimal function.

How long does a fracture take to heal?

The healing time for malunion and nonunion fractures can vary depending on several factors, including the type and severity of the fracture, the individual's overall health, and the chosen treatment approach.

Malunion fractures healing process

The healing process for malunion fractures typically involves:

  • Initial immobilization: Stabilizing the affected bone using casts, braces, or splints to prevent further displacement and promote alignment.
  • Bone remodeling: Over time, the body's natural healing mechanisms kick in, and the bone undergoes remodeling as new bone tissue replaces the fractured fragments.
  • Rehabilitation: Physical therapy and targeted exercises help restore strength, flexibility, and functional abilities.
  • Nonunion fractures healing process
  • In the case of nonunion fractures, the healing process can be more complex and may require:
    • Surgical intervention: Surgery is often necessary to address the underlying issues causing nonunion and create an environment conducive to bone healing.
    • Bone grafting: Adding bone grafts stimulates the formation of new bone tissue and facilitates the healing process.
    • Extended immobilization: In some instances, prolonged immobilization with casts, braces, or external fixation devices may be necessary to promote bone union.

The severity of the fracture will determine the exact healing time for malunion and nonunion fractures, the chosen treatment approach, and the individual's response to treatment. Your orthopedic specialist at Texas Joint Institute will provide personalized guidance regarding the expected healing timeline based on your specific condition.

Rehabilitation and recovery after fracture

After undergoing malunion and nonunion fracture treatment, rehabilitation and recovery play a crucial role in restoring optimal function and regaining mobility. The rehabilitation process is tailored to each patient's specific needs and may involve various components, such as:

  • Physical therapy: Targeted exercises and rehabilitation techniques are designed to improve the affected area's strength, flexibility, and range of motion. These exercises are essential for promoting healing, restoring functional abilities, and preventing future complications.
  • Assistive devices: Depending on the nature of the fracture and the individual's needs, you may need assistive devices such as crutches, walkers, or braces to support mobility during the recovery phase.
  • Pain management: Your healthcare team at Texas Joint Institute will closely monitor your pain levels and prescribe appropriate pain management strategies to ensure your comfort during recovery.
  • Follow-up appointments: Regular follow-up appointments with your orthopedic specialist will be scheduled to track your progress, monitor bone healing, and make any necessary adjustments to your treatment plan.

Our dedicated team of orthopedic professionals at Texas Joint Institute will guide you through rehabilitation and recovery, providing support, expertise, and customized treatment plans to help you achieve the best possible outcomes.


How are malunion and nonunion fractures diagnosed?

Malunion and nonunion fractures are diagnosed through a comprehensive evaluation by an orthopedic specialist, including a physical examination, a medical history review, and imaging tests like X-rays, CT scans, or MRI scans.

Can malunion and nonunion fractures be prevented?

While you can not prevent all fractures, proactive measures such as following safety protocols, maintaining good bone health habits, avoiding high-risk activities, and seeking prompt medical attention for fractures can reduce the risk of malunion and nonunion.

Are bone fractures more common in certain age groups?

Bone fractures can occur at any age, but children and older adults are more susceptible due to developing bones in children and age-related changes in bone density and strength in older adults. However, fractures can happen to individuals of any age based on their lifestyle, activities, and underlying medical conditions.

Can a bone fracture cause long-term complications?

In some cases, bone fractures may result in long-term complications like malunion, nonunion, joint stiffness, or reduced functional abilities. However, most fractures can heal properly and restore optimal function with appropriate diagnosis, treatment, and rehabilitation. Consulting with an experienced orthopedic specialist minimizes the risk of complications.

When can I resume physical activities after a bone fracture?

The timeline for resuming physical activities varies based on the type and severity of the fracture, the treatment provided, and individual healing rates. Specific guidelines will be provided by your orthopedic specialist, including recommendations for gradually increasing activity levels and participating in rehabilitation exercises.

Can a bone fracture heal without medical intervention?

While minor fractures may heal with conservative measures like immobilization and rest, seeking medical evaluation for any fracture is crucial to ensure proper diagnosis and treatment. Medical intervention, including immobilization, surgical, or other interventions, may be necessary to facilitate appropriate healing and minimize complications.

Experience innovative solutions for malunion and nonunion fractures at Texas Joint Institute

At Texas Joint Institute, we specialize in innovative solutions for malunion and nonunion fractures, revolutionizing how we approach healing and restoring function. With cutting-edge techniques and a team of skilled experts, we offer advanced treatments that deliver exceptional results. Trust our compassionate and personalized care as we optimize fracture healing and help you regain mobility. Experience the transformative impact of our state-of-the-art treatments. Contact us today at (972) 566-5255 and discover how our team can assist you in overcoming malunion and nonunion fractures for an improved quality of life.