A novel bone graft technique combined with plating for aseptic recalcitrant long bone nonunion
Abstract Background To evaluate the outcomes and efficacy of a new technique of autogenous iliac crest bone grafting combined with locking compression plate (LCP) vertical fixation for aseptic recalcitrant long bone nonunion. Methods From July 2010 to September 2020, 36 aseptic recalcitrant long bon...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
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BMC
2022-09-01
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| Series: | BMC Musculoskeletal Disorders |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s12891-022-05830-8 |
| _version_ | 1798001526906552320 |
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| author | Yuxuan Jiang Xiaolong Wang Wei Huang Yangjun Zhu Kun Zhang Dongxu Feng |
| author_facet | Yuxuan Jiang Xiaolong Wang Wei Huang Yangjun Zhu Kun Zhang Dongxu Feng |
| author_sort | Yuxuan Jiang |
| collection | DOAJ |
| description | Abstract Background To evaluate the outcomes and efficacy of a new technique of autogenous iliac crest bone grafting combined with locking compression plate (LCP) vertical fixation for aseptic recalcitrant long bone nonunion. Methods From July 2010 to September 2020, 36 aseptic recalcitrant long bone nonunions were treated with a bone-forming channel technique and internal LCP fixation. All the patients had received one or more failed treatments. The injury mechanism, nonunion type and duration, and prior treatments were recorded pre-operation. The routine treatment process included nonunion area exposure, previous implant removal, sclerotic bone debridement, LCP fixation, bone-forming channel creation, and iliac bone grafting, and a second LCP fixation when required. At follow-up, X-ray images were obtained to assess bone healing and implant failure. Visual analog scale (VAS), fracture site stability, limb function, activity, muscle strength, limb length, and complications were recorded. Results A total of 34 patients (24 males and 10 females) were finally enrolled, with a mean age of 49.8 ± 12.3 years. At a mean follow-up of 35.6 ± 22.0 months, 32 patients displayed bone union, with a healing rate of 94.1% and mean union time of 6.8 ± 2.4 months. The VAS score was 0.7 ± 1 at the final follow-up. The functional results showed that 19 patients were excellent, 11 patients were good, 2 patients were poor, and 2 patients did not heal. Conclusion Bone-forming channel technique combined with LCP vertical fixation is an excellent option to treat recalcitrant long bone nonunion. Level of evidence Therapeutic Level IV. |
| first_indexed | 2024-04-11T11:37:38Z |
| format | Article |
| id | doaj.art-2e18d89399464954b430ac80e92ea6be |
| institution | Directory Open Access Journal |
| issn | 1471-2474 |
| language | English |
| last_indexed | 2024-04-11T11:37:38Z |
| publishDate | 2022-09-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Musculoskeletal Disorders |
| spelling | doaj.art-2e18d89399464954b430ac80e92ea6be2022-12-22T04:25:55ZengBMCBMC Musculoskeletal Disorders1471-24742022-09-012311910.1186/s12891-022-05830-8A novel bone graft technique combined with plating for aseptic recalcitrant long bone nonunionYuxuan Jiang0Xiaolong Wang1Wei Huang2Yangjun Zhu3Kun Zhang4Dongxu Feng5Department of Orthopaedic Trauma, Hong Hui Hospital, Xi’an Jiaotong University School of MedicineDepartment of Orthopaedic Trauma, Hong Hui Hospital, Xi’an Jiaotong University School of MedicineDepartment of Orthopaedic Trauma, Hong Hui Hospital, Xi’an Jiaotong University School of MedicineDepartment of Orthopaedic Trauma, Hong Hui Hospital, Xi’an Jiaotong University School of MedicineDepartment of Orthopaedic Trauma, Hong Hui Hospital, Xi’an Jiaotong University School of MedicineDepartment of Orthopaedic Trauma, Hong Hui Hospital, Xi’an Jiaotong University School of MedicineAbstract Background To evaluate the outcomes and efficacy of a new technique of autogenous iliac crest bone grafting combined with locking compression plate (LCP) vertical fixation for aseptic recalcitrant long bone nonunion. Methods From July 2010 to September 2020, 36 aseptic recalcitrant long bone nonunions were treated with a bone-forming channel technique and internal LCP fixation. All the patients had received one or more failed treatments. The injury mechanism, nonunion type and duration, and prior treatments were recorded pre-operation. The routine treatment process included nonunion area exposure, previous implant removal, sclerotic bone debridement, LCP fixation, bone-forming channel creation, and iliac bone grafting, and a second LCP fixation when required. At follow-up, X-ray images were obtained to assess bone healing and implant failure. Visual analog scale (VAS), fracture site stability, limb function, activity, muscle strength, limb length, and complications were recorded. Results A total of 34 patients (24 males and 10 females) were finally enrolled, with a mean age of 49.8 ± 12.3 years. At a mean follow-up of 35.6 ± 22.0 months, 32 patients displayed bone union, with a healing rate of 94.1% and mean union time of 6.8 ± 2.4 months. The VAS score was 0.7 ± 1 at the final follow-up. The functional results showed that 19 patients were excellent, 11 patients were good, 2 patients were poor, and 2 patients did not heal. Conclusion Bone-forming channel technique combined with LCP vertical fixation is an excellent option to treat recalcitrant long bone nonunion. Level of evidence Therapeutic Level IV.https://doi.org/10.1186/s12891-022-05830-8Bone-forming channel techniqueNonunionBone graftLocking compression plateAutogenous structural iliac bone |
| spellingShingle | Yuxuan Jiang Xiaolong Wang Wei Huang Yangjun Zhu Kun Zhang Dongxu Feng A novel bone graft technique combined with plating for aseptic recalcitrant long bone nonunion BMC Musculoskeletal Disorders Bone-forming channel technique Nonunion Bone graft Locking compression plate Autogenous structural iliac bone |
| title | A novel bone graft technique combined with plating for aseptic recalcitrant long bone nonunion |
| title_full | A novel bone graft technique combined with plating for aseptic recalcitrant long bone nonunion |
| title_fullStr | A novel bone graft technique combined with plating for aseptic recalcitrant long bone nonunion |
| title_full_unstemmed | A novel bone graft technique combined with plating for aseptic recalcitrant long bone nonunion |
| title_short | A novel bone graft technique combined with plating for aseptic recalcitrant long bone nonunion |
| title_sort | novel bone graft technique combined with plating for aseptic recalcitrant long bone nonunion |
| topic | Bone-forming channel technique Nonunion Bone graft Locking compression plate Autogenous structural iliac bone |
| url | https://doi.org/10.1186/s12891-022-05830-8 |
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