Large segmental defects in midshaft clavicle nonunion treated with autologous tricortical iliac crest bone graft

Background To evaluate the use of intercalary iliac crest bone graft in the treatment of clavicle nonunion with a large segmental bone defect (3–6 cm). Methods This retrospective study evaluated patients with large segmental bone defects (3–6 cm) after clavicle nonunion, treated with open reposition internal fixation and iliac crest bone graft between February 2003 and March 2021. At follow-up the Disabilities of the Arm, Shoulder and Hand (DASH) questionnaire was administered. A literature search was performed to provide an overview of commonly used graft types per defect size. Results We included five patients treated with open reposition internal fixation and iliac crest bone graft for clavicle nonunion with a median defect size of 3.3 cm (range 3–6 cm). Union was achieved in all five, and all pre-operative symptoms resolved. The median DASH score was 23 out of 100 (IQR 8-24). An extensive literature search revealed that there are no studies describing the use of an used iliac crest graft for defects larger than 3 cm. Instead, a vascularized graft was typically used to treat defects sizes between 2.5 and 8 cm. Discussion An autologous non-vascularized iliac crest bone graft can be safely used and is reproducible to treat a midshaft clavicle non-union with a bone defect between 3 and 6 cm.

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Subtalar Arthrodesis for Complications of Intra-articular Calcaneal Fractures

Foot & Ankle International ◽

10.1177/107110070002100506 ◽

2000 ◽

Vol 21 (5) ◽

pp. 392-399 ◽

Cited By ~ 118

Author(s):

Adolph S. Flemister ◽

Anthony F. Infante ◽

Roy W. Sanders ◽

Arthur K. Walling

Keyword(s):

Internal Fixation ◽

Bone Graft ◽

Iliac Crest ◽

Iliac Crest Bone Graft ◽

Graft Material ◽

Calcaneal Fractures ◽

Reconstructive Procedures ◽

Group I ◽

Freeze Dried

Eighty six subtalar arthrodeses performed between 1985 and 1996 for complications associated with intra-articular calcaneal fractures were retrospectively evaluated. Patients were divided into three Groups: (I) 59 patients with calcaneal malunions (II) 13 patients with failed open reduction and internal fixation, and (III) eight patients undergoing open reductions and primary fusion for highly comminuted fractures. In each scenario, internal fixation was achieved with cancellous lag screws. Bone graft material consisted of either autogenous iliac crest graft, local graft obtained from the lateral wall exostectomy of the malunion, or freeze-dried cancellous allograft. Fusions in Groups II and III were performed in situ. Fusions in Group I were performed either in situ or utilizing a variety of reconstructive procedures depending upon the type of malunion encountered. Eighty three of the 86 fusion attempts were successful following the initial operations for a union rate of 96%. Fusion rates were similar regardless of the graft material used. Complications included four varus malunions, four cases of osteomyelitis, and two cases of reflex sympathetic dystrophy. A statistically significant shorter hospital stay was found for patients not undergoing iliac crest bone graft procedures. Eighty patients with at least two year follow up achieved a mean American Orthopaedic Foot and Ankle Society(AOFAS) ankle-hindfoot score of 75.0. Scores were similar for all three groups and for the various types of reconstructive procedures used. No correlation was found between postoperative talar declination angle and the AOFAS ankle-hindfoot score. Worker's compensation patients tended to have a poorer clinical outcome.

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Corrigendum to: Internal Fixation Construct and Defect Size Affect Healing of a Translational Porcine Diaphyseal Tibial Segmental Bone Defect

Military Medicine ◽

10.1093/milmed/usab033 ◽

2021 ◽

Keyword(s):

Internal Fixation ◽

Bone Defect ◽

Defect Size ◽

Segmental Bone Defect ◽

Segmental Bone

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Treatment of Scaphoid Nonunion by Radical Curettage, Trapezoidal Iliac Crest Bone Graft, and Internal Fixation With a Herbert Screw

Clinical Orthopaedics and Related Research ◽

10.1097/00003086-199101000-00022 ◽

1991 ◽

Vol &NA; (262) ◽

pp. 148???158

Author(s):

ROBIN R. RICHARDS ◽

WILLIAM D. REGAN

Keyword(s):

Internal Fixation ◽

Bone Graft ◽

Iliac Crest ◽

Iliac Crest Bone Graft ◽

Scaphoid Nonunion ◽

Herbert Screw

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The Difference of Bovine Bone Graft and Iliac Crest Bone Graft Effect on Closure of Bone Defect in Alveolar Bone Graft in Dr. Moewardi Hospital and Panti Waluyo Hospitals, Surakarta

Indonesian Journal of Medicine ◽

10.26911/theijmed.2018.03.03.05 ◽

2018 ◽

Vol 3 (3) ◽

pp. 151-161

Author(s):

Ruzbih Bahtiar ◽

◽

Dewi Haryanti Kurniasih ◽

Untung Alifianto ◽

◽

...

Keyword(s):

Bone Graft ◽

Bone Defect ◽

Iliac Crest ◽

Alveolar Bone ◽

Iliac Crest Bone Graft ◽

Bovine Bone ◽

The Difference

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Surgical reconstruction of the anterolateral acromion with a tricortical iliac crest bone graft after extensive acromioplasty

Obere Extremität ◽

10.1007/s11678-021-00624-1 ◽

2021 ◽

Author(s):

Anna-K. Tross ◽

Philip-C. Nolte ◽

Markus Loew ◽

Marc Schnetzke ◽

Sven Lichtenberg

Keyword(s):

Case Report ◽

Bone Graft ◽

Iliac Crest ◽

Deltoid Muscle ◽

Shoulder Surgery ◽

Surgical Reconstruction ◽

Iliac Crest Bone Graft ◽

Subacromial Decompression ◽

Arthroscopic Shoulder Surgery

AbstractSubacromial decompression is one of the most frequently performed procedures in the setting of arthroscopic shoulder surgery and typically includes acromioplasty. However, the indication for acromioplasty remains a subject of debate. Possible complications involve deltoid muscle insufficiency due to an excessive removal of the anterior acromion. This case report is intended to draw attention to this particular complication and its management.

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