Bone Loss in Open Fractures

2020 ◽  
pp. 75-92
Keyword(s):  
Bone Loss ◽  
Open Fractures ◽  
Autogenous Bone ◽  
Ilizarov Method ◽  
Challenging Problem ◽  
Related Factors ◽  
Limb Reconstruction ◽  
Induced Membrane ◽  
Optimum Mode ◽  
Autogenous Bone Grafting

This chapter deals with the management of bone loss in open fractures with particular reference to the tibia. This is a challenging problem and requires input and expertise from orthopaedic and plastic surgery specialists in limb reconstruction. The different sizes, shapes, and location of the defect will have diverse implications, and management must be individualised. Individualisation of treatment entails an assessment of the local, systemic, and patient-related factors such that the optimum mode of treatment is chosen. The techniques available include autogenous bone grafting, with or without prior induced membrane creation, vascularised free transfer of bone, and bone regeneration by the Ilizarov method.

Salvage of Pseudoarthrosis After Tibiotalar Arthrodesis

1997 ◽  
Vol 18 (9) ◽  
pp. 580-585 ◽  
Author(s):  
Stuart E. Levine ◽  
Mark S. Myerson ◽  
Paul Lucas ◽  
Lew C. Schon
Keyword(s):  
Bone Loss ◽  
Reflex Sympathetic Dystrophy ◽  
Ankle Arthrodesis ◽  
Autogenous Bone ◽  
Poor Bone Quality ◽  
Autogenous Bone Grafting ◽  
Subtalar Arthritis ◽  
Tibiotalar Arthrodesis ◽  
Hindfoot Arthrodesis ◽  
With Screws

We retrospectively reviewed the treatment of a selected group of 23 patients with pseudoarthrosis after ankle arthrodesis who underwent revision arthrodesis at an average of 1.7 years (range, 0.3–17.0 years) after the initial, unsuccessful procedure. Fourteen patients underwent isolated revision tibiotalar arthrodesis, and 9 had an additional hindfoot arthrodesis (7 tibiotalocalcaneal, 2 pantalar) performed at the time of the procedure. Rigid internal fixation with screws was performed when possible, and, in patients with poor bone quality, an external fixator was used. Autogenous bone grafting was used in 14 patients where bone loss was present. Twenty-one of 23 patients had successful union (average, 14 weeks; range, 6–48 weeks). Two patients had persistent ankle nonunions; one was asymptomatic, and one had symptomatic subtalar arthritis. Two patients underwent successful arthrodesis but had persistent pain from reflex sympathetic dystrophy. Overall, 19 of 23 patients were satisfied with the surgery. We conclude that revision arthrodesis for tibiotalar pseudoarthrosis is a worthwhile procedure.

scholarly journals Management of Isolated Capitate Nonunion: A Case Series and Literature Review

2018 ◽  
Vol 07 (05) ◽  
pp. 419-423 ◽  
Author(s):  
Rishabh Jethanandani ◽  
Schneider Rancy ◽  
Keith Corpus ◽  
Jeffrey Yao ◽  
Scott Wolfe
Keyword(s):  
Literature Review ◽  
Internal Fixation ◽  
Bone Grafting ◽  
Relevant Literature ◽  
Case Series ◽  
Rare Condition ◽  
Vascular Supply ◽  
Autogenous Bone ◽  
Rare Injury ◽  
Autogenous Bone Grafting

Background Isolated capitate nonunion is rare. No consensus on the appropriate treatment for this condition exists. Case Description We reported two cases of capitate fracture nonunion presenting several months after untreated high-impact wrist trauma. Treatment was delayed as both patients' nonunions were missed on conventional radiographs. Both were ultimately diagnosed with advanced imaging and successfully treated with internal fixation and autogenous bone grafting. The relevant literature pertaining to capitate nonunion was reviewed. Literature Review Immobilization and internal fixation with bone grafting for capitate nonunion have been described in the literature. Loss of vascular supply and progression to avascular necrosis is a concern after capitate nonunion. Clinical Relevance We present two cases and review the literature on the diagnosis and treatment of this rare injury to guide management. Internal fixation with autogenous bone grafting could play a role in management for this rare condition.

Zanthoxylum piperitum reversed alveolar bone loss of periodontitis via regulation of bone remodeling-related factors

2017 ◽  
Vol 195 ◽  
pp. 137-142 ◽  
Author(s):  
Mi Hye Kim ◽  
Hye Ji Lee ◽  
Jung-Chul Park ◽  
Jongki Hong ◽  
Woong Mo Yang
Keyword(s):  
Bone Loss ◽  
Bone Remodeling ◽  
Alveolar Bone ◽  
Alveolar Bone Loss ◽  
Related Factors ◽  
Zanthoxylum Piperitum

scholarly journals Application of 3D Printed Biocompatible Plastic Surgical Template for the Reconstruction of a Nasoalveolar Cleft with Preoperative Volume Analysis

2019 ◽  
Vol 56 (2) ◽  
pp. 413-415
Author(s):  
Zoltan Fabian ◽  
Kristof Kadar ◽  
Lajos Patonay ◽  
Krisztian Nagy
Keyword(s):  
Open Source Software ◽  
Gold Standard ◽  
Surgical Planning ◽  
Autologous Bone Graft ◽  
Optimal Shape ◽  
Autogenous Bone ◽  
Additive Technology ◽  
Alveolar Cleft ◽  
Autogenous Bone Grafting ◽  
3D Printed

Secondary autogenous bone grafting is the gold standard for the closure of an alveolar cleft. A preoperative surgical planning helps to determine the optimal shape and volume of the graft, that ideally guide canine eruption to the cleft area and ensure adequate nasal support. The authors describe their experience with design and use of an individually shaped 3D template for an autologous bone graft with fibrin glue for correct volume design. The conforming template is designed using freeware and open source software, it is manufactured by means of additive technology using autoclavable resin.

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