In Scaphoid Non-Union, Does the Source of Graft Affect Outcome? Iliac Crest Versus Distal End of Radius Bone Graft

The Journal of Hand Surgery: British & European Volume - Tập 31 - Trang 47-51 - 2006
A.D. Tambe1, L. Cutler1, S.R. Murali1, I.A. Trail1, J.K. Stanley1
1From the Wrightington Hospital, Wrightington, Wigan & Leigh NHS Trust, Wigan, UK

Tóm tắt

Iliac crest bone grafts are sometimes preferred to other bone grafts for the treatment of non-unions of fractures of the scaphoid as they are claimed to have better osteogenic potential and biomechanical properties. We retrospectively studied a consecutive cohort of 68 symptomatic established scaphoid non-unions treated by bone grafting. An iliac crest graft was used in 44 cases and a distal radius graft in the other 24. The two treatment groups were comparable in terms of location of the fracture, duration of the non-union and the fixation implants used. Overall union was achieved in 45 of the 68 patients (66%) and the union rate was not influenced by the type of bone graft used. Twenty-nine of the 44 treated with iliac crest bone graft (66%) and 16 of the 24 (67%) treated with distal radial graft united. Donor site pain over the iliac crest was present in nine of the 44 patients in this group.

Tài liệu tham khảo

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Thông tin xuất bản

The Journal of Hand Surgery: British & European Volume

Tập 31

47-51

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