Intercalary Tricortical Iliac Bone Graft in the Surgical Treatment of Nonunion of Midshaft Clavicular Fractures

PURPOSE: The purpose of this study was to evaluate the radiologic and clinical outcomes after intercalary tricortical iliac bone graft with plate fixation for the nonunion of midshaft clavicular fractures.MATERIALS AND METHODS: Between September 2007 and May 2011, 10 patients who were treated by the intercalary tricortical iliac bone graft, with plate fixation for clavicle nonunion, were studied. The mean follow-up period was 30.7 (12~57) months. After the sclerotic bone was excised to the bleeding cortical bone, we interposed the tricortical iliac bone to provide structural support and restore clavicle length, and then fixed the plate and screws. The radiologic outcomes on the serial plain radiographs and clinical outcomes, according to UCLA, ASES and Quick DASH scores, were analyzed.RESULTS: Bony union was obtained in all cases (100%) and the average union time was 18.4 (14~24) weeks. The average respective UCLA and ASES scores improved from 16.7 and 52.1 preoperatively to 27.4 and 83.6 postoperatively (p<0.05). The average Quick DASH score was 40.5, at the final follow-up. Complications were 2 shoulder stiffness, and one case had removal of device and arthroscopic surgery at 11 months, postoperatively. There were no implant failure or infection.CONCLUSION: Intercalary tricortical iliac bone graft, with plate fixation for the nonunion of midshaft clavicular fractures, is a good option that can provide structural support and restore clavicle length, as well as high union rate.

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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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Cephalometric Long-term Follow-up of Nasal Augmentation using Iliac Bone Graft

Journal of Cranio-Maxillofacial Surgery ◽

10.1016/j.jcms.2004.02.006 ◽

2004 ◽

Vol 32 (4) ◽

pp. 233-235 ◽

Cited By ~ 16

Author(s):

Shunji Sarukawa ◽

Yasushi Sugawara ◽

Kiyonori Harii

Keyword(s):

Bone Graft ◽

Iliac Bone ◽

Iliac Bone Graft ◽

Long Term Follow Up ◽

Nasal Augmentation

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Trochanteric Bone Grafts in Foot and Ankle Surgery

Foot & Ankle International ◽

10.1177/107110079601700708 ◽

1996 ◽

Vol 17 (7) ◽

pp. 402-405 ◽

Cited By ~ 11

Author(s):

W. Richard Hayes ◽

Ronald W. Smith

Keyword(s):

Bone Graft ◽

Delayed Union ◽

Iliac Bone ◽

Patient Questionnaire ◽

Foot And Ankle ◽

Greater Trochanter ◽

Graft Harvest ◽

Iliac Bone Graft ◽

Ankle Surgery

Eighty-five patients who underwent trochanteric bone graft harvest in association with foot and ankle surgery were studied retrospectively by patient questionnaire. The average follow-up was 49 months (range, 14–101 months). Ninety-five percent of the patients expressed satisfaction with the procedure, in that they would choose to accept the trochanteric bone graft again if required to make the choice. However, 31 % of the patients acknowledged some degree of hip discomfort and 4% reported some daily pain. Nineteen of 85 patients (22%) were treated for trochanteric pain. Most patients responded to strengthening/stretching and heat/ice. Four patients (5%) had failed or delayed union of the arthrodesis in which trochanteric bone graft was utilized. The greater trochanter may be considered as an alternative for major bone graft when the iliac bone is not available and when weightbearing is restricted for at least 6 weeks after surgery. As with the use of iliac bone graft, patients should be alerted to the possibility of postoperative discomfort. Surgical details should be followed to minimize the risk of peritrochanteric fracture.

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Early complications of medial opening wedge high tibial osteotomy using autologous tricortical iliac bone graft and T-plate fixation

The Knee ◽

10.1016/j.knee.2010.05.009 ◽

2011 ◽

Vol 18 (4) ◽

pp. 278-284 ◽

Cited By ~ 36

Author(s):

Dong Ju Chae ◽

Gautam M. Shetty ◽

Kook Hyun Wang ◽

Antonio Santa Cruz Montalban Jr ◽

Jong In Kim ◽

...

Keyword(s):

Bone Graft ◽

High Tibial Osteotomy ◽

Plate Fixation ◽

Iliac Bone ◽

Tibial Osteotomy ◽

Early Complications ◽

Opening Wedge ◽

Iliac Bone Graft ◽

Wedge High Tibial Osteotomy

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Lumbar and para-iliac hernias: an alternative technique

Revista do Colégio Brasileiro de Cirurgiões ◽

10.1590/0100-6991e-20213029 ◽

2021 ◽

Vol 48 ◽

Author(s):

MARIA PESSOLE BIONDO SIMÕES ◽

ALEXANDRE CONTIN MANSUR ◽

SILVANIA KLUG PIMENTEL

Keyword(s):

Bone Graft ◽

Blunt Trauma ◽

Iliac Crest ◽

Aortic Surgery ◽

Iliac Bone ◽

Lumbar Region ◽

Alternative Technique ◽

Iliac Bone Graft ◽

The Mean

ABSTRACT Lumbar and para-iliac hernias are rare and occur after removal of an iliac bone graft, nephrectomies, retroperitoneal aortic surgery, or after blunt trauma to the abdomen. The incidence of hernia after the removal of these grafts ranges from 0.5 to 10%. These hernias are a problem that surgeons will face, since bone grafts from the iliac crest are being used more routinely. The goal of this article was to report the technique to correct these complex hernias, using the technique of fixing the propylene mesh to the iliac bone and the result of this approach. In the period of 5 years, 165 patients were treated at the complex hernia service, 10 (6%) with hernia in the supra-iliac and lumbar region, managed with the technique of fixing the mesh to the iliac bone with correction of the failure. During the mean follow-up of 33 months (minimum of 2 and maximum of 48 months), there was no recurrence of the hernias.

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Arthroscopic Bankart Repair vs. Open Latarjet Procedure: A Comparative Study of Clinical and Functional Results.

10.21203/rs.3.rs-36217/v1 ◽

2020 ◽

Author(s):

Binod Sherchan ◽

Saroj Rai ◽

Nira Tamang ◽

Siddhartha Dhungana ◽

Laxmi Kanta Sharma ◽

...

Keyword(s):

Clinical Outcomes ◽

External Rotation ◽

Operating Cost ◽

Bankart Repair ◽

Dash Score ◽

Latarjet Procedure ◽

Arthroscopic Bankart Repair ◽

Significant Difference ◽

Quick Dash

Abstract Background The primary aim of this study was to compare the clinical outcomes of patients undergoing arthroscopic Bankart repair and open Latarjet procedure for recurrent dislocation of the shoulder. Secondary aims were to assess and compare the cost-effectiveness, satisfaction and complications, including recurrence and infection. Methods We retrospectively evaluated the patients who underwent either arthroscopic Bankart repair with or without Remplissage procedure or open Latarjet procedure between May 2015 and May 2018. The preoperative data were collected from the hospital records, and the postoperative data were collected during the follow-up visit. At the final follow-up, 41(male=32, female=9) patients in the Bankart group and 40(male=34 and female=6) patients in the Latarjet group were included in the study. Clinical outcomes were assessed using the ASES score, Rowe score, and Quick DASH score. A self-constructed scale that consisted of satisfied and dissatisfied was used to measure the level of satisfaction. Any complications were recorded in every follow-up visit. Collected data were analyzed using SPSS version 25. Results There was no statistically significant difference regarding the age (p=0.401), gender (p=0.569), site of involvement (p=0.158), number of preoperative dislocations (p=0.085), follow-up (p=0.061), between the two groups. Similarly, no statistically significant difference existed regarding the ASES score (p=0.388), Rowe score (p=0.211), and Quick DASH score (p=0.713). The average external rotation was 83 degrees in the Bankart group and 85 degrees in the Latarjet group (p=0.140). Functional satisfaction was higher in the Laterjet group compared to the Bankart group (p=0.482). Hundred percent of the patients were cosmetically satisfied in the Bankart group, whereas only 32(80%) patients were cosmetically satisfied in the Latarjet group (p=0.002). There was a significantly higher operating cost for arthroscopic Bankart repair compared to open Latarjet procedure (p<0.001). Three patients had a recurrence in the Bankart group, whereas no recurrence occurred in the Latarjet group. And, 2 superficial infections occurred in the Latarjet group. Conclusion These results provide the fact that arthroscopic Bankart repair might be a fancy and minimally invasive procedure, Latarjet procedure should still be a priority in a developing country like Nepal, where financial cost is a huge burden.

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Possibility of Using Flexible Dentures over Iliac Bone Graft in Adolescent Patients with Ameloblastoma: A 9-Month Follow-Up Clinical Report

Case Reports in Dentistry ◽

10.1155/2021/2415707 ◽

2021 ◽

Vol 2021 ◽

pp. 1-5

Author(s):

Ammar Belal ◽

Bassil Monther ◽

Wael Alzarif

Keyword(s):

Bone Graft ◽

Iliac Crest ◽

Clinical Observation ◽

Transition Period ◽

Iliac Bone ◽

Clinical Report ◽

Common Procedure ◽

Iliac Bone Graft ◽

Adolescent Patients

Introduction. The use of bone grafts is a common procedure after excision and reconstruction of the mandible, although it is rare in children and adolescents due to incomplete growth, which means a long transition period until reaching an appropriate age for implants or more predictable outcomes. Case Report. This article describes a 9-month follow-up of the use of a flexible denture above a bone graft taken from the anterior iliac crest for adolescent patients with resected mandible due to ameloblastoma. Taking into account prosthetic considerations, radiography, and clinical observation, no complications were seen with the graft. Conclusion. It is safe to use a flexible denture as a prosthetic over an iliac bone graft block during the healing period.

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