Patient Factors
Patient factors
- age
- nutrition / catabolic states
- anaemia
- smoking
- alcohol
- DM
- immunocomprimise
- non compliance
Pharmacological agents
- steroids
- cytotoxics
- ciproflaxacin
- NSAIDS
DXRT
Injury factors
Injury
- open fracture
- significant soft tissue trauma
- soft tissue interposition
- poor vascularity
- infection
- pathological fracture
- malignant tissue
- osteoporosis
Fracture pattern
- intact fellow bone
- excessive bone loss
- segmental injury
- comminution
- displacement
- synovial fluid
Surgeon factors
Distraction of fracture
Inadequate stability with excessive movement
Excessive stability
Extensive approach with vascular compromise
No axial load