37 Bone Graft-Bone Autograft Reconstruction

In aseptic tibial diaphyseal nonunions after failed conservative treatment, the recommended treatment is a reamed intramedullary (IM) nail. Typically, when an aseptic tibial nonunion previously treated with an IM nail is found, it is advisable to change the previous IM nail for a larger diameter reamed and locked IM nail (the rate of success of renailing is around 90%). A second change after an IM nail failure is also a good option, especially if bone healing has progressed after the first change. Fibular osteotomy is not routinely advised; it is only recommended when it interferes with the nonunion site. In delayed unions before 24 weeks, IM nail dynamization can be performed as a less invasive option before deciding on a nail change. If there is a bone defect, a bone graft must be recommended, with the gold standard being the autologous iliac crest bone graft (AICBG). A reamer-irrigator-aspirator (RIA) system might also obtain a bone autograft that is comparable to AICBG. Although the size of the bone defect suitable to perform bone transport techniques is a controversial issue, we believe that such techniques can be considered in bone defects > 3 cm. Non-invasive therapies and biologic therapies could be applied in isolation for patients with high surgical risk, or could be used as adjuvants to the aforementioned surgical treatments. Cite this article: EFORT Open Rev 2020;5:835-844. DOI: 10.1302/2058-5241.5.190077

Download Full-text

Pengaruh bone graft dan splitting osteotomy terhadap perkembangan akar gigi molar ketiga immature yang ditransplantasi The effect of bone graft and splitting osteotomy on development of the root of transplanted immature third molar

Journal of Dentomaxillofacial Science ◽

10.15562/jdmfs.v10i1.245 ◽

2011 ◽

Vol 10 (1) ◽

pp. 6

Author(s):

Irma Drismayanti ◽

Sariatun T ◽

Surijana Mappangara ◽

Muh. Ruslin

Keyword(s):

Bone Graft ◽

Third Molar ◽

Third Molars ◽

Alveolar Process ◽

Recipient Site ◽

Periodontal Condition ◽

Extraction Site ◽

Negative Effect ◽

Bone Autograft ◽

Marked Atrophy

One of the basic requirements for succesfull transplantation is an adequate size of recipient site with sufficientalveolar support. If the transplantation is performed into a fresh extraction site, the recipient site can easily beadjusted to the transplantation. However, the situation is different in patient with premolar aplasia or early molarloss with marked atrophy of the alveolar process, need additional surgical procedures like bone autograft orsplitting osteotomy of the alveolar process. This paper discussed the effect of bone autograft and splitting osteotomyon root development of transplanted immature third molars. The conclusion is these additional surgical prosedureshad a negative effect on the pulpal and periodontal condition of transplantated immature third molars. This may berelated to revascularization disturbances of pulp due to nutrient insufficiency of the recipient site.

Download Full-text

THE CLINICAL AND RADIOLOGICAL OUTCOME OF BOVINE HYDROXYAPATITE (BIO HYDROX) AS BONE GRAFT

(JOINTS) Journal Orthopaedi and Traumatology Surabaya ◽

10.20473/joints.v9i1.2020.9-16 ◽

2020 ◽

Vol 9 (1) ◽

pp. 9

Author(s):

Arifin Arifin ◽

Ferdiansyah Mahyudin ◽

Mouli Edward

Keyword(s):

Bone Graft ◽

Bone Healing ◽

Healing Process ◽

Tissue Bank ◽

Trauma Patients ◽

Clinical And Radiological Outcome ◽

Bovine Hydroxyapatite ◽

Hospital Institution ◽

Bone Autograft ◽

Morbidity Risk

Background: A Bone graft is a transplanted material to enhance the bone healing response through the osteogenic, osteoconductive, and osteoinductive process on the tissue. Bone autograft has long been the gold standard with the susceptibility of limited supply from the donor and the morbidity risk. The limitation presented by both autograft and allograft has led to the development of bovine hydroxyapatite (BHA). This research was conducted to evaluate the clinical and radiological outcomes of bovine hydroxyapatite as a bone graft.Methods: This research is a descriptive study using a consecutive sampling design of all trauma patients who received bovine hydroxyapatite in our hospital institution between the period of 2016 to 2018 as the samples. The bovine hydroxyapatite was obtained from the tissue bank in our hospital institution. The results were evaluated clinically and radiologically. The data was tabulated and analyzed descriptively.Results: From the 56 patients who underwent surgery and were given the bovine hydroxyapatite, most of the results were 80.36% excellent, 12.5% good, 3.57% fair, and 3.57 % poor. Conclusion: Bovine hydroxyapatite can be considered as an alternative for bone graft in supporting the bone healing process.

Download Full-text

Management of Hepple Stage V Osteochondral Lesion of the Talus with a Platelet-Rich Plasma Scaffold

Foot & Ankle Orthopaedics ◽

10.1177/2473011418s00438 ◽

2018 ◽

Vol 3 (3) ◽

pp. 2473011418S0043

Author(s):

Zhongmin Shi

Keyword(s):

Bone Graft ◽

Cancellous Bone ◽

Platelet Rich Plasma ◽

Osteochondral Lesion ◽

Osteochondral Lesions ◽

Cancellous Bone Graft ◽

Sf 36 ◽

American Orthopaedic ◽

Bone Autograft

Category: Ankle Introduction/Purpose: There has been no consensus on the treatment or prognosis of Hepple stage V osteochondral lesions of the talus (OLTs), especially for lesions greater than 1.5 cm2 in size. The objective of this study was to investigate the clinical outcomes achieved upon application of a platelet-rich plasma (PRP) scaffold with a cancellous bone autograft for Hepple stage V OLTs. Methods: Fourteen patients (mean age, 39 years) were treated with a cancellous bone graft and a PRP scaffold between 2013 and 2015. The mean time to surgical treatment was 23.5 months. Ankle X-ray and magnetic resonance imaging were performed at the final follow-up. Functional outcomes were evaluated according to the Visual Analog Scale (VAS) score, American Orthopaedic Foot and Ankle Society (AOFAS) score, and Short Form36 (SF-36) score.The range of motion (ROM) of the ankle joint and complications also were recorded. Results: Thirteen patients completed the full follow-up, with a mean follow-up duration of 18 months. MRI demonstrated the complete regeneration of subchondral bone and cartilage in all patients.The postoperative VAS, AOFAS ankle and hindfoot, and SF-36 scores were improved significantly (all 𝑃 < 0.001) without obvious complications. Conclusion: We suggest that, for the Hepple stage V OLTs, management with cancellous bone graft and PRP scaffold may be a safe and effective treatment.

Download Full-text

Surgical Outcome of Anterior Cervical Discectomy and Fusion (ACDF) with Autologous Bone Graft from Iliac Bone and Miniplate Application Over It

Pakistan Journal Of Neurological Surgery ◽

10.36552/pjns.v23i3.362 ◽

2019 ◽

Vol 23 (3) ◽

pp. 217-220

Author(s):

RIAZ -UR-REHMAN ◽

MUHAMMAD NAWAZ KHAN ◽

SAJJADULLAH . ◽

ATTIYA NASIR ◽

ANIF- UR-RAHMAN

Keyword(s):

Bone Graft ◽

Surgical Outcome ◽

Autologous Bone Graft ◽

Cervical Collar ◽

Iliac Bone ◽

Inclusion Criteria ◽

Autologous Bone ◽

Bone Autograft ◽

Age Range ◽

Mini Plate

Objectives: To know the surgical outcome of ACDF with autologous bone graft from iliac bone and miniplate application over it.Materials and Methods: This prospective study was conducted in the Department of Neurosurgery, Hayatabad Medical Complex and Lady Reading Hospital Peshawar from 1st June 2017 to 31 December 2018. Only those patients having prolapsed intervertebral cervical discs or cervical stenosis were included while those with multiple level involvement, trauma, fracture and previously operated patients for any cervical pathology were excluded. Pre-op and postoperative data were documented. For all patients, tricortical iliac bone autograft and rigid plate instrumentation was used to optimize fusion cervical collar was not used post op. Acquired data were analyzed with SPSS v20.Results: Total 83 patients fulfilled the inclusion criteria and enrolled in the study. Out of these, 48 patients were males and 35 were females. The age range was from 17 to 63 with a mean age 52 years ± 2.5.The C5 – C6 was the commonest site for fusion C6 – C7, C3 – C4 and C4 – C5 were less common. Odom’s criteria was applied to determine the outcome of the procedure. Excellent results were noted in 70 (82%). Ten (12.05%) patients had good results. Conclusion: The ACDF with the tricortical iliac bone autograft and mini plate application is the choice treatment in appropriately selected patients. It increases chances of fusion and abates the need for post op cervical collar.

Download Full-text

PO 18164 - Subtalar arthrodesis with bone graft

Scientific Journal of the Foot & Ankle ◽

10.30795/scijfootankle.2019.v13.1023 ◽

2019 ◽

Vol 13 (Supl 1) ◽

pp. S34

Author(s):

Henrique Mansur ◽

Gil Galvão Bernardes Silveira ◽

Isnar Moreira De Castro Junior

Keyword(s):

Bone Graft ◽

Donor Site ◽

Ankle Arthrodesis ◽

Foot And Ankle ◽

Union Rate ◽

Subtalar Arthrodesis ◽

Significant Difference ◽

Different Types ◽

Bone Autograft

Introduction: The bone graft is an important component of foot and ankle arthrodesis and is used in conditions in which the biological system is known to be unfavorable and scraping the joint will cause a considerable structural defect. The objective was to evaluate the union rate of subtalar arthrodesis in smokers and nonsmokers and to determine the effect of the use of different types of bone autografts. Methods: Retrospective study with radiological evaluation of patients diagnosed with subtalar arthrosis who underwent primary arthrodesis from January 2008 to December 2014. All patients with a minimum follow-up period of 12 months were included and were divided into smokers and nonsmokers treated with or without autologous bone grafting. Results: In total, 235 patients with a mean age of 47 years were evaluated; whom 90 (40%) were smokers, and 141 (60%) were nonsmokers. In 221 (94%) cases, the indication for arthrodesis was sequelae of calcaneal fractures. A bone graft was used in 27.7% patients. The overall union rate was 85.4%, and 14.6% of the patients developed pseudarthrosis. A significant difference was found in the nonunion rate of smokers versus nonsmokers (p=0.015), especially in those who did not receive a bone graft (p=0.014). However, no significant difference was found between smokers who received a bone graft and those who did not (p=0.072). The union rate was related to the donor site, with pseudarthrosis observed in 33.3% of surgeries involving a calcaneal autograft (p=0.011). Conclusion: Smoking increased the likelihood of pseudarthrosis in subtalar arthrodesis by 2.5 fold, and pseudarthrosis was related to the bone autograft donor site.

Download Full-text