scholarly journals Augmentative locking plate with autologous bone grafting for distal femoral nonunion subsequent to failed retrograde intramedullary nailing

2016 ◽  
Vol 50 (4) ◽  
pp. 393-399 ◽  
Author(s):  
Jiang-ying Ru ◽  
Yu Cong ◽  
Dai Shi ◽  
Yang-hu Lu ◽  
Yun-fei Niu ◽  
...  
Keyword(s):  
Intramedullary Nailing ◽  
Bone Grafting ◽  
Locking Plate ◽  
Retrograde Intramedullary Nailing ◽  
Autologous Bone Grafting ◽  
Autologous Bone

scholarly journals Radiation-Associated Fracture Nonunion of the Clavicle Treated with Locking Plate Fixation and Autologous Bone Grafting

2012 ◽  
Vol 2012 ◽  
pp. 1-3 ◽  
Author(s):  
Takahiro Niikura ◽  
Sang Yang Lee ◽  
Yoshitada Sakai ◽  
Kotaro Nishida ◽  
Ryosuke Kuroda ◽  
...  
Keyword(s):  
Bone Grafting ◽  
Locking Plate ◽  
Plate Fixation ◽  
Fluid Collection ◽  
Bony Union ◽  
Locking Plate Fixation ◽  
Autologous Bone Grafting ◽  
Fracture Nonunion ◽  
Autologous Bone ◽  
The Right

We describe a case of radiation-associated fracture nonunion of the clavicle, which was treated by locking plate fixation and autologous bone grafting. The patient was a 67-year old man who received 70 Gy radiation therapy to treat nasopharyngeal carcinoma. Eight years later, he suffered a pathological fracture of the right clavicle. One year after the fracture, surgical treatment was performed due to persistent pain and weakness. Radiographs demonstrated atrophic nonunion. Bone scan demonstrated hot uptake at both ends of the fractured bone. MRI demonstrated a formation of pseudoarthrosis with fluid collection and suggested bone marrow edema at both ends of the fracture fragments. In surgery, fibrous pseudoarthrosis tissue was excised and both ends of the fracture fragments were refreshed to identify bleeding. Open reduction and internal fixation using a 7-hole locking plate and autologous bone grafting were performed. Successful bony union was obtained 1 year postoperatively, and no adverse events were observed up to 52 months after the operation. Our case suggests that a locking plate provides sufficient fixation and autologous bone grafting is effective in enhancing bone healing in a radiation-associated fracture nonunion of the clavicle in which it is difficult to achieve bony union.

Plate augmentation and autologous bone grafting after intramedullary nailing for challenging femoral bone defects: a technical note

2016 ◽  
Vol 136 (10) ◽  
pp. 1381-1385 ◽  
Author(s):  
Kyu-Hyun Yang ◽  
Yougun Won ◽  
Sang Bum Kim ◽  
Byung-Hak Oh ◽  
Young Chang Park ◽  
...  
Keyword(s):  
Intramedullary Nailing ◽  
Bone Grafting ◽  
Bone Defects ◽  
Technical Note ◽  
Femoral Bone ◽  
Autologous Bone Grafting ◽  
Autologous Bone

scholarly journals Re-operation rate after surgical treatment of osteochondral lesions of the talus in paediatric and adolescent patients

2021 ◽  
Vol 16 (1) ◽  
Author(s):  
Daniel Körner ◽  
Christoph E. Gonser ◽  
Stefan Döbele ◽  
Christian Konrads ◽  
Fabian Springer ◽  
...  
Keyword(s):  
Surgical Treatment ◽  
Bone Grafting ◽  
Cartilage Damage ◽  
Osteochondral Lesions ◽  
Retrograde Drilling ◽  
Autologous Bone Grafting ◽  
Operation Rate ◽  
Group A ◽  
Autologous Bone ◽  
Group B

Abstract Background The aim of this study is to analyse the re-operation rate after surgical treatment of osteochondral lesions of the talus (OCLTs) in children and adolescents. Methods Between 2009 and 2019, 27 consecutive patients with a solitary OCLT (10 male, 17 female; mean age 16.9 ± 2.2 years; 8 idiopathic vs. 19 traumatic) received primary operative treatment (arthroscopy + bone marrow stimulation [BMS], n = 8; arthroscopy + retrograde drilling, n = 8; autologous chondrocyte implantation [ACI]/autologous bone grafting, n = 9; arthroscopy + BMS + retrograde drilling; n = 1; flake fixation, n = 1). Seventeen OCLTs were located at the medial and ten at the lateral talus. ‘Re-operation’ as the outcome measure was evaluated after a median follow-up of 42 months (range 6–117 months). Patients were further subdivided into groups A (re-operation, n = 7) and B (no re-operation, n = 20). Groups A and B were compared with respect to epidemiological, lesion- and therapy-related variables. Results Seven of 27 patients needed a re-operation (re-operation rate 25.9% after a median interval of 31 months [range 13–61 months]). The following operative techniques were initially used in these seven patients: arthroscopy + BMS n = 2, arthroscopy + retrograde drilling n = 4, ACI + autologous bone grafting n = 1. A comparison of group A with group B revealed different OCLT characteristics between both groups. The intraoperative findings according to the International Cartilage Repair Society (ICRS) classification revealed significantly more advanced cartilage damage in group B than in group A (p = 0.001). Conclusions We detected a re-operation rate of 25.9% after primary surgical OCLT treatment. Patients with re-operation had significantly lower ICRS classification stages compared to patients without re-operation.

scholarly journals Olecranon Apophyseal Nonunion in Adolescent Judo Players: A Report of Two Cases

2018 ◽  
Vol 2018 ◽  
pp. 1-4
Author(s):  
Kohei Yamaura ◽  
Yutaka Mifune ◽  
Atsuyuki Inui ◽  
Hanako Nishimoto ◽  
Yasuhiro Ueda ◽  
...  
Keyword(s):  
Internal Fixation ◽  
Bone Grafting ◽  
Case Series ◽  
Radiographic Evidence ◽  
Level Of Evidence ◽  
Old Patients ◽  
Elbow Injury ◽  
Autologous Bone Grafting ◽  
Judo Athletes ◽  
Autologous Bone

Olecranon apophyseal nonunion is an elbow injury from overuse that affects adolescent athletes such as baseball pitchers who participate in overhead throwing sports. However, such injury is rare in collision sports. Here, we report two patients with this condition who are Judo athletes. The purpose of this report was to describe three elbows with olecranon apophyseal nonunion in two adolescent patients participating in Judo. This is a case series; the level of evidence is 4. Two 15-year-old patients were evaluated. One suffered from unilateral and the other from bilateral chronic posterior elbow pain. They were diagnosed with olecranon apophyseal nonunion, which was treated using internal fixation and bone grafting. Radiographic evidence of the apophyseal union was observed four months postsurgery. Two elbows were treated with tension band wiring, then they underwent hardware removal six months postsurgery. Both patients returned to their previous levels of activities six months postsurgery. Internal fixation using autologous bone grafting was a useful treatment for these Judo athletes with olecranon apophyseal nonunion.

scholarly journals Comparison of Puddu osteotomy with or without autologous bone grafting: a prospective clinical trial

2017 ◽  
Vol 52 (5) ◽  
pp. 555-560
Author(s):  
Marcus Ceregatti Passarelli ◽  
José Roberto Tonelli Filho ◽  
Felipe Augusto Mendes Brizzi ◽  
Gustavo Constantino de Campos ◽  
Alessandro Rozim Zorzi ◽  
...  
Keyword(s):  
Clinical Trial ◽  
Bone Grafting ◽  
Prospective Clinical Trial ◽  
Autologous Bone Grafting ◽  
Autologous Bone
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