Tier 6

Principles

Non-union uncommon. Even if fibrous union is achieved, this is rarely symptomatic.

Management

Non-opeartive is mainstay

• Weightbearing as tolerated in stiff-soled shoe or walking boot
• Follow-up at 6 weeks and remove restrictions. No XR required if clinically united.

Operative management reserved for fractures with significant rotational displacement or skin tenting

• Intramedullary screw fixation