The indications and donor-site morbidity of tibial cortical strut autografts in the management of defects in long bones
| Autor: | V. Dumaine, M. Soubeyrand, Philippe Anract, A. Babinet, David Biau, O. Lauthe |
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| Rok vydání: | 2018 |
| Předmět: |
musculoskeletal diseases
Adult Male medicine.medical_specialty medicine.medical_treatment Arthrodesis Bony union Nonunion Surgical Wound Osteotomy Transplant Donor Site Transplantation Autologous 03 medical and health sciences Young Adult 0302 clinical medicine medicine Humans Orthopedics and Sports Medicine 030212 general & internal medicine Tibia Autografts Retrospective Studies Varus deformity 030222 orthopedics Bone Transplantation business.industry Middle Aged musculoskeletal system medicine.disease Confidence interval Surgery Anterior Compartment Syndrome Wounds and Injuries Female Bone Diseases Morbidity business |
| Zdroj: | The bonejoint journal. (5) |
| ISSN: | 2049-4408 |
| Popis: | Aims The primary aim of this study was to determine the morbidity of a tibial strut autograft and characterize the rate of bony union following its use. Patients and Methods We retrospectively assessed a series of 104 patients from a single centre who were treated with a tibial strut autograft of > 5 cm in length. A total of 30 had a segmental reconstruction with continuity of bone, 27 had a segmental reconstruction without continuity of bone, 29 had an arthrodesis and 18 had a nonunion. Donor-site morbidity was defined as any event that required a modification of the postoperative management. Union was assessed clinically and radiologically at a median of 36 months (IQR, 14 to 74). Results Donor-site morbidity occurred in four patients (4%; 95% confidence interval (CI) 1 to 10). One patient had a stress fracture of the tibia, which healed with a varus deformity, requiring an osteotomy. Two patients required evacuation of a haematoma and one developed anterior compartment syndrome which required fasciotomies. The cumulative probability of union was 90% (95% CI 80 to 96) at five years. The type of reconstruction (p = 0.018), continuity of bone (p = 0.006) and length of tibial graft (p = 0.037) were associated with the time to union. Conclusion The tibial strut autograft has a low risk of morbidity and provides adequate bone stock for treating various defects of long bones. Cite this article: Bone Joint J 2018;100-B:667–74. |
| Databáze: | OpenAIRE |
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