A Comparison of the Use of Distal Radius Vascularised Bone Graft and Non-Vascularised Iliac Crest Bone Graft in the Treatment of Non-Union of Scaphoid Fractures

2008 ◽  
Vol 33 (5) ◽  
pp. 636-640 ◽  
Author(s):  
J. BRAGA-SILVA ◽  
F. M. PERUCHI ◽  
G. M. MOSCHEN ◽  
D. GEHLEN ◽  
A. V. PADOIN
Keyword(s):  
Bone Graft ◽  
Distal Radius ◽  
Iliac Crest ◽  
Surgical Techniques ◽  
Functional Results ◽  
Iliac Crest Bone Graft ◽  
Radiographic Findings ◽  
Non Union ◽  
Vascularised Bone Graft ◽  
Mean Time

We compared two surgical techniques for the treatment of scaphoid non-union, namely, using distal radius vascularised bone graft and iliac crest non-vascularised bone graft. Eighty patients with symptomatic scaphoid non-union underwent surgical treatment, including 35 patients treated with distal radius vascularised bone graft and 45 treated by iliac crest non-vascularised bone graft. Patients were assessed objectively by examination of wrist range of motion, grip strength and radiographic findings in the postoperative period after a mean time of 2.8 (1.4) (range 1–5.2) years. Similar functional results were obtained with the two techniques. All cases of non-union in the non-vascularised group obtained consolidation in a mean time of 8.89 (2.26) months and in the vascularised group in a mean time of 7.97 (3.06) months. Three cases of consolidation failure occurred in the vascularised group and were related to technical difficulties.

Local distal radius bone graft versus iliac crest bone graft for scaphoid nonunion: a comparative study

2012 ◽  
Vol 97 (2) ◽  
pp. 109-114 ◽  
Author(s):  
Bhavuk Garg ◽  
Tarun Goyal ◽  
Prakash P. Kotwal ◽  
Sukesh Rao Sankineani ◽  
Sujit K. Tripathy
Keyword(s):  
Comparative Study ◽  
Bone Graft ◽  
Distal Radius ◽  
Iliac Crest ◽  
Iliac Crest Bone Graft ◽  
Scaphoid Nonunion

scholarly journals Outcomes and complications of the reamer irrigator aspirator versus traditional iliac crest bone graft harvesting: a systematic review and meta-analysis

2021 ◽  
Vol 22 (1) ◽  
Author(s):  
Francesco Oliva ◽  
Filippo Migliorini ◽  
Francesco Cuozzo ◽  
Ernesto Torsiello ◽  
Frank Hildebrand ◽  
...  
Keyword(s):  
Bone Graft ◽  
Iliac Crest ◽  
Meta Analysis ◽  
Medullary Canal ◽  
Current Evidence ◽  
Iliac Crest Bone Graft ◽  
Bone Graft Harvesting ◽  
Mean Time ◽  
Lower Site

Abstract Background The reamer irrigator aspirator (RIA) is a relatively recent device that is placed in the medullary canal of long bones to harvest a large volume of bone marrow, which is collected in a filtered canister. This study compares outcomes and complications of the RIA versus a traditional iliac crest bone graft (ICBG) for the treatment of bone defects. Methods This meta-analysis was conducted according to the PRISMA guidelines. The Embase, Google Scholar, PubMed, and Scopus databases were accessed in June 2021. All clinical trials comparing the RIA and ICBG with a minimum of 6 months follow-up were included. Results Data from 4819 patients were collected. The RIA group demonstrated lower site pain (P < 0.0001), fewer infections (P = 0.001), and a lower rate of adverse events (P < 0.0001). The ICBG group demonstrated a greater rate of bone union (P < 0.0001). There was no difference between groups in VAS (P = 0.09) and mean time to union (P = 0.06). Conclusion The current evidence supports the use of the RIA, given its low morbidity and short learning curve.

scholarly journals Scaphoid specific volar locking plate and non-vascularised iliac crest bone graft in scaphoid non-union. A comparative cohort study

2019 ◽  
Vol 16 (4) ◽  
pp. 337-341 ◽  
Author(s):  
Adrian J. Talia ◽  
Andrew Fraval ◽  
Liam Halliday ◽  
Gabrielle McKie ◽  
Joseph Paiva ◽  
...  
Keyword(s):  
Cohort Study ◽  
Bone Graft ◽  
Iliac Crest ◽  
Locking Plate ◽  
Iliac Crest Bone Graft ◽  
Volar Locking Plate ◽  
Non Union ◽  
Comparative Cohort Study

In Scaphoid Non-Union, Does the Source of Graft Affect Outcome? Iliac Crest Versus Distal End of Radius Bone Graft

2006 ◽  
Vol 31 (1) ◽  
pp. 47-51 ◽  
Author(s):  
A. D. TAMBE ◽  
L. CUTLER ◽  
S. R. MURALI ◽  
I. A. TRAIL ◽  
J. K. STANLEY
Keyword(s):  
Bone Graft ◽  
Iliac Crest ◽  
Donor Site ◽  
Bone Grafts ◽  
Biomechanical Properties ◽  
Osteogenic Potential ◽  
Iliac Crest Bone Graft ◽  
Non Union ◽  
Treatment Groups ◽  
Donor Site Pain

Iliac crest bone grafts are sometimes preferred to other bone grafts for the treatment of non-unions of fractures of the scaphoid as they are claimed to have better osteogenic potential and biomechanical properties. We retrospectively studied a consecutive cohort of 68 symptomatic established scaphoid non-unions treated by bone grafting. An iliac crest graft was used in 44 cases and a distal radius graft in the other 24. The two treatment groups were comparable in terms of location of the fracture, duration of the non-union and the fixation implants used. Overall union was achieved in 45 of the 68 patients (66%) and the union rate was not influenced by the type of bone graft used. Twenty-nine of the 44 treated with iliac crest bone graft (66%) and 16 of the 24 (67%) treated with distal radial graft united. Donor site pain over the iliac crest was present in nine of the 44 patients in this group.

Sign in / Sign up

Export Citation Format

Share Document