TRUFFLE is a register of clinical patient data of failed bone healing and bone non-union after fracture. All patients suffering from a long bone delayed or non-union after fracture and undergoing revision surgery are registered with their clinical data, comorbidities, medication, soft tissue status, radiographic status, Non-Union Scoring System (NUSS) Score and are followed up until final bone healing or end of treatment. The register consists of more than 800 patients cases. The aim is to identify risk factors for healing of non-unions. Data analysis will compare those patients that undergo regular healing to those of insufficient healing.
age >18 years
presence of long bone non-union that required surgical treatment.
radiological signs according to the criteria of the Radiographic Union Scale of Tibial fractures (RUST).
clinical signs as pain, lack of weight bearing and/or limitation on range of motion.
age <18 years
Patients with non surgical intervention and presence of long bone non-union
bone non-union that resulted from elective orthopedic surgery (e.g. osteotomies).