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Background: Autologus Bone grafting is a commonly performed second surgery in non-union of operated long bones fractures. In some patients surgery is not possible because of anaesthetic complications and other co-mobid conditions, a simple plaster immobilisation may not be sufficient. a simple bone marrow aspiration and fracture site injection would be an alternate to bone graft in these patients. Materials and Methods: This Study included 50 patients divided into two groups A and B, 25 in each group, having fractures of long bones except femur managed with closed reduction and cast application. 13 patients of group A and 14 of B had poor prognosis for union. Group A were treated with immobilisation alone and Group B treated with Immobilisation and Bone marrow aspirate injection. Results: 30.77% patients of poor prognosis attained union at 6 months without Bone marrow aspirate injections(Group A) and 92.86% patients attained union with Bone marrow aspirate injections (Group B). Patients in Group A on an average took 10.3 months to perform full weight bearing whereas Patients in Group B took 6.8 months. Discussion: Bone marrow aspirate injection definitely increase the union rates and decrease the period of immobilisation in long bone fractures. It can be a blessing in patients with medical limitation to surgery. Conclusion: Bone marrow aspirate injection definitely increase the union rates and decrease the period of immobilisation in long bone fractures managed conservatively It can be a blessing in patients with medical limitation to surgery.

international journal of orthopaedics sciences

Role of prophylactic autologous bone marrow aspirate injection in accelerating union and rehabilitation in long bone fractures in surgically unfit patients