Bone graft reconstruction of a flail digit

1992 ◽  
Vol 82 (5) ◽  
pp. 264-268 ◽  
Author(s):  
KT Mahan

The author presents a case report with a 1-year follow-up period demonstrating successful bone graft stabilization of an iatrogenic flail second toe. The author discusses the techniques for calcaneal autogenous bone grafting for reconstruction of the iatrogenic shortened toe combined with ancillary procedures to improve the digital length pattern. After 18 months, this staged approach to stabilization of the digit and realignment of the digital length pattern appears to be successful.

2007 ◽  
Vol 96 (3) ◽  
pp. 243-251 ◽  
Author(s):  
P. Keränen ◽  
A. Itälä ◽  
J. Koort ◽  
I. Kohonen ◽  
M. Dalstra ◽  
...  

Background and Aims: Ceramic bone graft substitutes have a potential to be used as replacement of allogeneic bone grafting and, under optimal distribution of particle size, they may even provide mechanical support. The current study examined the efficacy of bioactive glass granules as an extender of autogenous bone grafting in a segmental bone replacement model of the canine femur. Material and Method: A 16 mm long segment of the femur shaft was bilaterally replaced with an intercalary titanium implant in eight animals. The implant had cementless grooved proximal and distal stems. In one leg, the peri-implant space was packed with composite graft consisting of a mixture of bioactive glass granules and autogenous bone graft in proportion of 50:50. In the opposite leg, the peri-implant space was treated with autogenous bone graft alone. After surgery, unlimited functional loading was allowed. The outcome was evaluated at three months. Results: Eight out of sixteen autografted implants and seven out of sixteen composite-grafted implants were radiographically incorporated and clinically stable at three months. In the paired comparison, the proximal components of composite-grafted implants showed lower maximum load under torsional testing (p=0.068), less new bone in the longitudinal grooves of the stems (p=0.036) and lower affinity of new bone to implant surface (p=0.046). The distal components of the two sides showed a similar trend for less new bone in the grooves and lower bone affinity of new bone in the distal composite-grafted components. Conclusions: The current study suggests that supplementation of periprosthetic bone graft with bioactive ceramic particles may not help to promote healing of cementless implants under high dynamic loading conditions.


2010 ◽  
Vol 59 (3) ◽  
pp. 464-467
Author(s):  
Masahiro Yokouchi ◽  
Satoshi Nagano ◽  
Yoshiya Arishima ◽  
Mikio Terahara ◽  
Yuhei Yahiro ◽  
...  

1998 ◽  
Vol 88 (3) ◽  
pp. 130-134 ◽  
Author(s):  
F Nesheiwat ◽  
WM Brown ◽  
KM Healey

Autogenous bone grafting has been the standard approach to reconstruction of trauma-induced metatarsal defects. However, this treatment has well-known disadvantages related to the harvesting, size, shape, and availability of autografts. The authors used a synthetic hydroxyapatite bone-graft substitute manufactured from a marine coral with a morphology similar to that of cancellous bone in the reconstruction of a large, post-traumatic first metatarsal defect. The authors found grafting with coralline hydroxyapatite to be a safe and effective substitute for autogenous bone grafting in the post-traumatic setting.


2021 ◽  
Vol 11 (16) ◽  
pp. 7560
Author(s):  
Jeong-Kui Ku ◽  
Jae-Young Kim ◽  
Jong-Ki Huh

In the case of multiple hopeless teeth and severe bone loss, a conventional healing protocol of 3–4 months has been recommended to prevent the possibility of infection or unpredictable resorption of grafted bone during consolidation of the extraction socket. The use of a provisional denture is inevitable in the case of delayed implant placement, which is a common risk factor for wound dehiscence after a bone graft. Although autogenous bone is still the gold standard for bone grafting because of its excellent biocompatibility and osteogenic potential, there has been controversy in the unpredictable resorption of autogenous bone grafting. We present a case of successful maxillary rehabilitation without the use of provisional dentures by immediate implant placement, with early loading accompanying an extensive autogenous bone graft.


2004 ◽  
Vol 51 (3/4) ◽  
pp. 277-281 ◽  
Author(s):  
HIDETAKA MURAKAMI ◽  
TAKASHI SOEJIMA ◽  
TAKASHI INOUE ◽  
TOMONOSHIN KANAZAWA ◽  
MICHIHIRO KATOUDA ◽  
...  

1994 ◽  
Vol 84 (1) ◽  
pp. 1-9 ◽  
Author(s):  
KT Mahan

Autogenous bone grafting is an important part of many foot and ankle surgical procedures. Although alternative bone graft materials such as allogeneic bone are available, autogenous bone continues to be the material of choice for many procedures. The calcaneus provides a source of small amounts of autogenous corticocancellous or cancellous bone. The author describes the surgical technique for procurement of calcaneal bone grafts. Twenty-five cases are reviewed. The morbidity associated with procuring calcaneal bone grafts is favorably compared with that associated with procuring bone from other donor sites.


Sign in / Sign up

Export Citation Format

Share Document