Fifty-three ununited fractures with a median time since injury of28 months were treated by electrical stimulation using pulsing electromagnetic fields. Union was achieved in 38 cases (71.7 per cent) in a median time ofsix months. For ununited fractures ofthe tibia the success rate was higher at 86.7 per cent. Previous or active sepsis, the presence of plates or nails, the age of the patient or the time since the injury did not affect the results. Analysis ofthe failures suggests that inadequate immobilisation, a fracture gap of more than five millimetres or the presence ofa screw in the fracture gap was responsible.
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