There is discomfort after surgery, which is managed with pain medication. Most patients find the pain manageable within the first few days. The frame itself does not cause ongoing pain once the initial healing begins.

Can I walk with the frame?

In most cases, yes — walking with the frame is encouraged as part of recovery. The extent of weight-bearing depends on the specific procedure and will be guided by Dr. Hoda.

How do I care for the pins?

Pin site care is taught before discharge. It involves cleaning around each pin with saline or as instructed, and monitoring for signs of infection such as redness, swelling or discharge.

How long until the frame is removed?

This depends on the condition being treated, the amount of correction needed, and how well the bone heals. It is usually several weeks to months. Dr. Hoda will give a more specific estimate after reviewing your X-rays.

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Non-union & Malunion

Written and medically reviewed by Dr. Shamsul Hoda, MBBS, D.Ortho., MS Ortho, M.Ch. Orth., Dip. Ilizarov (Kurgan) – Ilizarov & Limb Reconstruction Specialist

Last reviewed: November 2026 · About the author

Treatment of fractures that have failed to heal, or that have healed in a poor position.

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What is it?

Non-union is when a broken bone fails to heal after the expected time. Malunion is when the bone heals but in a poor position — bent, rotated or shortened. Both conditions cause pain, weakness and difficulty with function. The Ilizarov method can treat both: stimulating healing in non-union and correcting the position in malunion, often simultaneously.

Who needs it?

Fractures that have not healed after several months
Fractures with bone loss or infection preventing healing
Healed fractures with significant deformity
Failed previous surgery for non-union
Atrophic or hypertrophic non-union

How is it treated?

The Ilizarov frame is applied and the non-union or malunion site is addressed — either by stimulating compression and movement to promote healing, or by correcting the deformity through gradual adjustment. Bone grafting may be added if needed.

What to expect

Treatment duration varies depending on the type of non-union and the amount of correction needed. The frame is worn until the bone heals. Physiotherapy helps maintain joint movement. Regular X-rays monitor healing progress.

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Risks and Limitations

Like any surgery, this treatment carries risks. These can include pin-site infection, joint stiffness, delayed bone healing, and the need for further procedures. Results depend on age, general health, the condition being treated and following the treatment plan. Dr. Hoda will explain the risks that apply to you before you decide.

Frequently Asked Questions

Ready to discuss your case?

Book a consultation or send your X-rays on WhatsApp for an initial assessment.