Application of multiple wrapped cancellous bone graft methods for treatment of segmental bone defects
Abstract 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 auto...
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| Format: | Article |
| Language: | English |
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BMC
2019-07-01
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| Series: | BMC Musculoskeletal Disorders |
| Subjects: | |
| Online Access: | http://link.springer.com/article/10.1186/s12891-019-2713-y |
| _version_ | 1818383526769197056 |
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| author | Yunhong Ma Sanjun Gu Qudong Yin Haifeng Li Yongwei Wu Zihong Zhou Dehong Feng Yongjun Rui |
| author_facet | Yunhong Ma Sanjun Gu Qudong Yin Haifeng Li Yongwei Wu Zihong Zhou Dehong Feng Yongjun Rui |
| author_sort | Yunhong Ma |
| collection | DOAJ |
| description | Abstract 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. |
| first_indexed | 2024-12-14T03:07:46Z |
| format | Article |
| id | doaj.art-8923000c702b4645a8fac1a99dd9c43c |
| institution | Directory Open Access Journal |
| issn | 1471-2474 |
| language | English |
| last_indexed | 2024-12-14T03:07:46Z |
| publishDate | 2019-07-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Musculoskeletal Disorders |
| spelling | doaj.art-8923000c702b4645a8fac1a99dd9c43c2022-12-21T23:19:21ZengBMCBMC Musculoskeletal Disorders1471-24742019-07-0120111010.1186/s12891-019-2713-yApplication of multiple wrapped cancellous bone graft methods for treatment of segmental bone defectsYunhong Ma0Sanjun Gu1Qudong Yin2Haifeng Li3Yongwei Wu4Zihong Zhou5Dehong Feng6Yongjun Rui7Department of Orthopaedics, Wuxi the Ninth People’s Hospital Affiliated to Suzhou UniversityDepartment of Orthopaedics, Wuxi the Ninth People’s Hospital Affiliated to Suzhou UniversityDepartment of Orthopaedics, Wuxi the Ninth People’s Hospital Affiliated to Suzhou UniversityDepartment of Orthopaedics, Wuxi the Ninth People’s Hospital Affiliated to Suzhou UniversityDepartment of Orthopaedics, Wuxi the Ninth People’s Hospital Affiliated to Suzhou UniversityDepartment of Orthopaedics, Wuxi People’s HospitalDepartment of Orthopaedics, Wuxi People’s HospitalDepartment of Orthopaedics, Wuxi the Ninth People’s Hospital Affiliated to Suzhou UniversityAbstract 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.http://link.springer.com/article/10.1186/s12891-019-2713-ySegmental long bone defectCancellous bone graftWrapped bone graftTitanium meshLine mesh |
| spellingShingle | Yunhong Ma Sanjun Gu Qudong Yin Haifeng Li Yongwei Wu Zihong Zhou Dehong Feng Yongjun Rui Application of multiple wrapped cancellous bone graft methods for treatment of segmental bone defects BMC Musculoskeletal Disorders Segmental long bone defect Cancellous bone graft Wrapped bone graft Titanium mesh Line mesh |
| title | Application of multiple wrapped cancellous bone graft methods for treatment of segmental bone defects |
| title_full | Application of multiple wrapped cancellous bone graft methods for treatment of segmental bone defects |
| title_fullStr | Application of multiple wrapped cancellous bone graft methods for treatment of segmental bone defects |
| title_full_unstemmed | Application of multiple wrapped cancellous bone graft methods for treatment of segmental bone defects |
| title_short | Application of multiple wrapped cancellous bone graft methods for treatment of segmental bone defects |
| title_sort | application of multiple wrapped cancellous bone graft methods for treatment of segmental bone defects |
| topic | Segmental long bone defect Cancellous bone graft Wrapped bone graft Titanium mesh Line mesh |
| url | http://link.springer.com/article/10.1186/s12891-019-2713-y |
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