Impaction grafting of the acetabulum with ceramic bone graft substitute mixed with femoral head allograft: High survivorship in 43 patients with a median follow-up of 7 years

Abstract Background Management of traumatic bone void associated with Gustilo IIIB open fractures is challenging. Gentamicin eluting synthetic bone graft substitute (Cerament-G) had been recently utilised for the management of patients with these injuries. This study aims to assess radiological signs of Cerament-G remodelling. Method Retrospective data analysis of all patients admitted to our unit with IIIB open fractures who had Cerament-G applied as avoid filler. Postoperative radiographic images of the fracture site at 6-weeks, 3-months, 6-months and at the last follow-up were reviewed. The radiological signs of Cerament-G integration, percent of void healing, and bone cortical thickness at the final follow-up were assessed. Results 34 patients met our inclusion criteria, mean age: 42 years. Mean follow-up time was 20 months. 59% of patients had excellent (>90%) void filling, 26.4% of patients had 50-90% void filling, and 14.6% had < 50% void filling. Normal bone cortical thickness was restored on AP and Lateral views in 55.8% of patients. No residual Cerement-G was seen on X-rays at the final follow-up in any of the patients. Conclusions Our results showed successful integration of Cerament-G with excellent void filling and normal cortical thickness achieved in more than half of the patients.

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Impaction grafting of the acetabulum with ceramic bone graft substitute

Acta Orthopaedica ◽

10.3109/17453674.2013.824801 ◽

2013 ◽

Vol 84 (4) ◽

pp. 371-376 ◽

Cited By ~ 7

Author(s):

Michael R Whitehouse ◽

Peter J Dacombe ◽

Jason C J Webb ◽

Ashley W Blom

Keyword(s):

Bone Graft ◽

Bone Graft Substitute ◽

Impaction Grafting

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Combined tibial lengthening and ankle arthrodesis for patients with certain type of sequelae of poliomyelitis

Journal of Orthopaedic Surgery ◽

10.1177/2309499016684415 ◽

2017 ◽

Vol 25 (1) ◽

pp. 230949901668441

Author(s):

Chi-Chuan Wu

Keyword(s):

Bone Graft ◽

Functional Disability ◽

Muscle Power ◽

Ankle Arthrodesis ◽

Bone Graft Substitute ◽

Modern Medicine ◽

External Fixators ◽

Lesion Side ◽

Gait Function

Purpose: Following far advancement of modern medicine and technology, functional disability in a certain type of sequelae of poliomyelitis may be effectively improved. Methods: Eight consecutive adult patients with unilateral sequelae of poliomyelitis were treated. These patients had shortened lower extremity of an average of 4.8 cm (range, 4.0–5.5 cm) in the lesion side. Muscle power of the ipsilateral knee was nearly intact (grade 4 or 5) but the ankle extension was completely flaccid. The tibia was osteotomized and lengthened with external fixation. Consequently, all external fixators were converted to plates supplemented with autogenous corticocancellous bone graft and bone graft substitute. Ankle arthrodesis was performed concomitantly. Results: Seven patients were followed up for an average of 3.7 years (range, 2.2–5.4 years). All seven lengthened sites healed with an average union time of 3.9 months (range, 3.5–4.5 months) after plating. One ankle infection occurred. Gait function significantly improved by modified Mazur scoring evaluation ( p = 0.02). At the latest follow-up, all patients had a minimal or unnoticed limp in level walking. Conclusion: The described combined techniques may be an excellent alternate for treating selected patients with sequelae of poliomyelitis. The procedure is not complex but the efficiency is extremely prominent.

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Retrospective Long-Term Follow-Up Survival Analysis of the Management of Osteonecrosis of the Femoral Head With Pedicled Vascularized Iliac Bone Graft Transfer

The Journal of Arthroplasty ◽

10.1016/j.arth.2019.03.069 ◽

2019 ◽

Vol 34 (8) ◽

pp. 1585-1592 ◽

Cited By ~ 2

Author(s):

Hui Xie ◽

Benjie Wang ◽

Simiao Tian ◽

Boyi Liu ◽

Kairong Qin ◽

...

Keyword(s):

Survival Analysis ◽

Femoral Head ◽

Bone Graft ◽

Iliac Bone ◽

Iliac Bone Graft ◽

Long Term Follow Up

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Impaction grafting with a bone-graft substitute in a sheep model of revision hip replacement

Journal of Bone and Joint Surgery - British Volume ◽

10.1302/0301-620x.90b2.19675 ◽

2008 ◽

Vol 90-B (2) ◽

pp. 246-253 ◽

Cited By ~ 10

Author(s):

M. Coathup ◽

N. Smith ◽

C. Kingsley ◽

T. Buckland ◽

R. Dattani ◽

...

Keyword(s):

Bone Graft ◽

Hip Replacement ◽

Bone Graft Substitute ◽

Impaction Grafting ◽

Sheep Model ◽

Revision Hip Replacement

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Computer-Assisted Three-Dimensional Corrective Osteotomy for Malunited Fractures of the Distal Radius Using Prefabricated Bone Graft Substitute

The Journal of Hand Surgery (Asian-Pacific Volume) ◽

10.1142/s2424835518500467 ◽

2018 ◽

Vol 23 (04) ◽

pp. 479-486 ◽

Cited By ~ 7

Author(s):

Kosuke Shintani ◽

Kenichi Kazuki ◽

Masahiro Yoneda ◽

Takuya Uemura ◽

Mitsuhiro Okada ◽

...

Keyword(s):

Bone Graft ◽

Distal Radius ◽

Corrective Osteotomy ◽

Three Dimensional ◽

Bone Graft Substitute ◽

Computer Assisted ◽

Mayo Wrist Score ◽

Sound Side ◽

Ct Data

Background: Three-dimensional computed tomography (3D-CT) imaging has enabled more accurate preoperative planning. The purpose of this study was to investigate the results of a novel, computer-assisted, 3D corrective osteotomy using prefabricated bone graft substitute to treat malunited fractures of the distal radius. Methods: We investigated 19 patients who underwent the computer-assisted 3D corrective osteotomy for a malunited fracture of the distal radius after the operation was stimulated with CT data. A prefabricated bone graft substitute corresponding to the patient’s bone defect was implanted and internal fixation was performed using a plate and screws. We compared postoperative radiographic parameters of the patient’s operated side with their sound side and analyzed clinical outcomes using Mayo wrist score. Results: All patients achieved bone union on X-ray imaging at final follow-up. The mean differences of palmar tilt, radial inclination and ulnar variance between the operation side and the sound side were 4.3°, 2.3° and 1.2 mm, respectively. The Mayo wrist score was fair in 4 patients and poor in 15 patients before surgery. At the final follow-up after surgery, the scores improved to excellent in 3 patients, good in 11 patients and fair in 5 patients. There were two patients with correction loss at the final follow-up, but no patient complained of hand joint pain. Conclusions: We believe that computer-assisted 3D corrective osteotomy using prefabricated bone graft substitute achieved good results because it worked as a guide to the accurate angle.

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