scholarly journals Autogenous Inlay Bone Graft for Distal Humerus Nonunion with Metaphyseal Bone Defect: A Technical Note

2020 ◽  
Vol 25 (1) ◽  
pp. 39-45
Author(s):  
Yong-Suk Lee ◽  
Dongmin Kim ◽  
Min-Sung Kang ◽  
Jong-Hwa Park ◽  
Sang-Uk Lee
Keyword(s):  
Bone Graft ◽  
Bone Defect ◽  
Locking Plate ◽  
Plate Fixation ◽  
Good Method ◽  
Fracture Site ◽  
Technical Note ◽  
Medullary Canal ◽  
Autogenous Bone ◽  
Metaphyseal Bone

Distal humeral nonunion is one of the most concerned complications in elbow trauma. When bone loss at the fracture site is carried out due to nonunion, metaphyseal bone defect occurs. Therefore positioning of anatomical locking plate becomes difficult owing to abnormal bone contour, and fixation of small nonunion fragment is challenging. We introduce a good method of anatomical locking plate fixation with autogenous inlay strut bone graft for internal fixation. This technique is to insert autogenous inlay bone into the proximal medullary canal and hole of distal bone fragment which will lead to achieve correction of the anatomical alignment, length and rotation deformity. The inlay grafting is reduced to the shaft with two crossed K-wires temporarily. Definitive fixation is performed with locking plates, and autogenous bone graft is added at the defect site.

The Effect of Pedicle Screw/Plate Fixation on Lumbar/Lumbosacral Autogenous Bone Graft Fusions in Patients With Degenerative Disc Disease

Spine ◽  
1995 ◽  
Vol 20 (7) ◽  
pp. 819-830 ◽  
Author(s):  
George W. Wood ◽  
Robert J. Boyd ◽  
Thomas A. Carothers ◽  
Frederick L. Mansfield ◽  
Glenn R. Rechtine ◽  
...  
Keyword(s):  
Bone Graft ◽  
Pedicle Screw ◽  
Degenerative Disc Disease ◽  
Plate Fixation ◽  
Autogenous Bone Graft ◽  
Autogenous Bone ◽  
Disc Disease ◽  
Degenerative Disc

scholarly journals Immunogenicity of Bone Graft Using Xenograft Freeze-Dried Cortical Bovine, Allograft Freeze-Dried Cortical New Zealand White Rabbit, Xenograft Hydroxyapatite Bovine, And Xenograft Demineralized Bone Matrix Bovine In Bone Defect Of Femoral Diaphysis White Rabbit Experimental Study In Vivo

2017 ◽  
Vol 3 (6) ◽  
pp. 344 ◽  
Author(s):  
Ferdiansyah Ferdiansyah ◽  
Dwikora Novembri Utomo ◽  
Heri Suroto
Keyword(s):  
Bone Graft ◽  
Bone Defect ◽  
Demineralized Bone Matrix ◽  
Bone Matrix ◽  
Zealand White Rabbit ◽  
Femoral Diaphysis ◽  
Autogenous Bone ◽  
Rejection Reaction ◽  
Freeze Dried ◽  
Demineralized Bone

Bone defect remains a big challenge for orthopedic surgeon. Bone grafting nowadays become the second common transplantation after blood transfusion. Autogenous bone graft is the gold standard in treatment of bone defect, but it’s source limitation and donor site morbidity makes some surgeon were looking for allograft or xenograft. There are some issues with allo- and xenograft about difficulty in corporation and rejection reaction. This study explores the immunogenicity of allograft and xenograft. Keyword :  freeze-dried xenograft, freeze-dried allograft, hydroxyapatite xenograft, demineralized bone matrix xenograft.

Corrective Osteotomy with Autogenous Bone Graft with Callus after Malunion of Distal Radius Fracture

2018 ◽  
Vol 23 (04) ◽  
pp. 571-576
Author(s):  
Kenji Goto ◽  
Kiyohito Naito ◽  
Yoichi Sugiyama ◽  
Mayuko Kinoshita ◽  
Nana Nagura ◽  
...  
Keyword(s):  
Bone Graft ◽  
Distal Radius Fracture ◽  
Distal Radius ◽  
Wrist Joint ◽  
Corrective Osteotomy ◽  
Postoperative Outcome ◽  
Fracture Site ◽  
Radius Fracture ◽  
Autogenous Bone Graft ◽  
Autogenous Bone

Corrective osteotomy with callus filling at fracture site for malunion after distal radius fracture is a rare technique, but it achieved a favorable postoperative outcome. The patient, 66-year-old female, visited our hospital 4 months after distal radius fracture. Corrective osteotomy of the distal radius was planned aiming at improving the wrist joint function, and was performed using a volar locking plate, then the bone defect was filled with callus as autogenous bone grafting. At 12 months after surgery, left wrist joint pain and the range of motion have improved, and the Mayo wrist score was excellent. To our knowledge, there has been no study on the treatment of bone defects by filling with callus. Since favorable bone fusion was achieved with callus, this treatment method may overcome the disadvantages of autogenous bone graft, such as pain at the donor region.

Cross-Shaped Bone Grafting and Locking Plate Fixation for Arthrodesis of the Trapeziometacarpal Joint: Surgical Technique and Early Mobilization

2019 ◽  
Vol 24 (01) ◽  
pp. 55-59
Author(s):  
Keiichi Muramatsu ◽  
Yasuhiro Tominaga ◽  
Takahiro Hashimoto ◽  
Toshihiko Taguchi
Keyword(s):  
Bone Graft ◽  
Locking Plate ◽  
Plate Fixation ◽  
Early Mobilization ◽  
Pinch Strength ◽  
Dash Score ◽  
Locking Plate Fixation ◽  
Trapeziometacarpal Joint ◽  
Unaffected Side ◽  
Internal Stabilization

Background: The trapeziometacarpal joint is the second most common site of osteoarthritis in the hand and the most frequent one to require surgery. Arthrodesis of the trapeziometacarpal joint is recognized as one of the valuable technique but unfortunately there has been wide variation in the union rate. The purpose of this study was to evaluate a new arthrodesis technique involving a cross-shaped bone graft and locking plate fixation. Methods: Eleven male patients diagnosed as Eaton’s stage III osteoarthritis of the trapeziometacarpal join were treated in our institute. The mean patient age was 62 years (range 50 to 80 years). At the day after surgery, physical therapy was started and free use of the hand was permitted. Results: Patients showed radiographic evidence of trapeziometacarpal joint union after an average postoperative period of 8.3 weeks (range 6–12 weeks). The VAS pain score significantly decreased from 7.2 points preoperatively to 0.4 points after surgery. Mean side pinch strength increased significantly from 3.8 kg (53% compared to unaffected side) prior to surgery to 6.2 kg (86%). The DASH score improved from 38.6 (range 34.1–43.2) preoperatively to 17.0 (6.8–22.7) postoperatively. Conclusions: These data suggested that our technique is a successful procedure for the trapeziometacarpal joint arthrodesis. Cross-shaped bone grafts have the advantages of restoring thumb length and providing internal stabilization, especially for rotational force. No complications arose at the bone harvest site of the iliac crest. The procedure seems to be technically demanding, particularly for adapting the bone graft to perfectly match the shape of the defect.

scholarly journals Establishment and effects of allograft and synthetic bone graft substitute treatment of a critical size metaphyseal bone defect model in the sheep femur

Apmis ◽  
2019 ◽  
Vol 127 (2) ◽  
pp. 53-63 ◽  
Author(s):  
Werner Hettwer ◽  
Peter F. Horstmann ◽  
Sabine Bischoff ◽  
Daniel Güllmar ◽  
Jürgen R. Reichenbach ◽  
...  
Keyword(s):  
Bone Graft ◽  
Bone Defect ◽  
Critical Size ◽  
Bone Graft Substitute ◽  
Defect Model ◽  
Synthetic Bone ◽  
Synthetic Bone Graft ◽  
Metaphyseal Bone
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