Application of multiple wrapped cancellous bone graft methods for treatment of segmental bone defects
| Autor: | Zihong Zhou, Qudong Yin, Yunhong Ma, Sanjun Gu, Yongwei Wu, Yongjun Rui, Dehong Feng, Haifeng Li |
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| Rok vydání: | 2019 |
| Předmět: |
Adult
Male medicine.medical_specialty lcsh:Diseases of the musculoskeletal system Adolescent medicine.medical_treatment Nonunion Bone healing Bone grafting Line mesh Transplantation Autologous Bone resorption Fractures Bone Young Adult Rheumatology medicine Humans Orthopedics and Sports Medicine Femur Humerus Tibia Aged Retrospective Studies Bone Transplantation business.industry Middle Aged Surgical Mesh Wrapped bone graft medicine.disease Cancellous bone graft Titanium mesh Surgery Treatment Outcome medicine.anatomical_structure Segmental long bone defect Cancellous Bone Feasibility Studies Female lcsh:RC925-935 business Cancellous bone Follow-Up Studies Research Article |
| Zdroj: | BMC Musculoskeletal Disorders BMC Musculoskeletal Disorders, Vol 20, Iss 1, Pp 1-10 (2019) |
| ISSN: | 1471-2474 |
| DOI: | 10.1186/s12891-019-2713-y |
| Popis: | Background The aims of this study were to discuss the principle, therapeutic effect and influencing factors of multiple wrapped cancellous bone graft methods for treatment of segmental bone defects. Methods This study retrospectively analyzed the therapeutic effect of different wrapped autologous cancellous bone graft techniques on 51 patients aged (34.5 ± 11.5) years with segmental bone defects. Cancellous bones were wrapped with titanium mesh (n = 9), line mesh (n = 10), line suturing or line binding cortical block, (n = 13), or induced membrane (n = 19). The bone defeats were as follows: tibia (n = 23), radial bone (n = 10), humerus (n = 8), ulnar bone (n = 7), and femur (n = 3). The defect lengths were (5.9 ± 1.1) cm. The functionary recovery of adjacent joint was evaluated by the Paley‘s method and DASH, respectively. Results The incision healed by first intention in 48 cases and secondary healing in 3 cases. All patients were followed up for 19.1 ± 7.1 (12–48) months. Other than one patient with nonunion who received a secondary bone graft, all the patients were first intention of bone healing (the healing rate was 98.0%). The healing time was 6.1 ± 2.1 (3–15) months. There were no significant differences in the healing time among the 4 groups (χ2 = 1.864, P = 0.601). The incidence of complications in the grafted site was 11.8%, whereas it was 21.6% in the harvest site. At the last follow-up, all the patients had recovered and were able to engage in weight-bearing activities. The functional recovery was good to excellent in 78.4% of cases, there were no significant difference among the 4 groups (χ2 = 5.429, P = 0.143). Conclusions Wrapped cancellous bone grafting is a modified free bone graft method that can be used in the treatment of small and large segmental bone defects as it prevents loosening and bone absorption after bone grafting. The effect of bone healing is related with the quality and quantity of grafted bone, stability of bone defects, property of wrapping material and peripheral blood supply. |
| Databáze: | OpenAIRE |
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