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Forearm non-union poses a challenge in orthopaedic surgery due to its intricate anatomy and functional significance. This review provides a comprehensive overview of the assessment, diagnosis and management of forearm non-union. Initial evaluation involves a meticulous history, physical examination and imaging studies to identify factors contributing to non-union, including infection.

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The Cambridge Experience with Lower Limb Long Bone Non-union Following Fixation and the Treatment Algorithm.

Strategies Trauma Limb Reconstr

January 2023

Department of Trauma and Orthopaedics, Addenbrookes Major Trauma Unit, Cambridge University Hospitals NHS Trust, Cambridge, Cambridgeshire, United Kingdom.

Aim: Non-unions have been traditionally classified as atrophic, oligotrophic and hypertrophic and their management was primarily dictated by that. In our Unit, we have based our treatment rationale mainly on the stability of the metalwork and the presence of symptoms rather than the radiologic appearance of the non-union or the presence of infection. The aim was to present the treatment algorithm for lower limb long bone non-union following operative fixation.

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Productivity-enhancing work innovations: remedies for what ails hospitals?

Hosp Health Serv Adm

December 1991

College of Business and Economics, University of Nevada, Las Vegas 89154.

Prospective pricing, the proliferation of alternative delivery systems, and the demands of third party payers and corporate employers for the containment of health care costs have engendered the keen interest of hospital executives seeking strategies for improving labor productivity. Despite this interest, the relevant literature suggests that few work innovations designed to enhance labor productivity have been implemented in hospitals. This article describes generic versions of four such work innovations--quality circles, union-management committees, autonomous work groups, and gainsharing--and discusses relevant research indicating the types of benefits gained from each and the reasons why some have failed.

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