Autogenous bone grafting for fractures of the hand

Techniques in Hand & Upper Extremity Surgery
Alan E Freeland, Jason P Rehm

Abstract

Autogenous bone grafting of hand fractures often occurs within the milieu of a complex wound. Risks of infection and/or stiffness increase with injury severity, contamination, and the time interval between injury and successful wound closure or coverage. A clean wound is paramount for successful tissue repair, reconstruction, and closure. Skeletal restoration is an integral component of composite wound management. Fracture stabilization enhances pain control, protects soft tissue repairs and reconstruction, inhibits infection, and facilitates bone graft consolidation and functional recovery. Mini plate fixation provides the sustained stability necessary for hand fractures with bone loss to heal. Bone grafting is an essential element of skeletal restitution for defects due to comminution or actual loss. Cancellous bone grafts heal more rapidly and are more resistant to infection than cortical bone grafts and may be preferable for partial or smaller intercalary defects. Cortical or corticocancellous grafts augment stability and may be especially useful for larger segmental diaphyseal defects and articular bone loss requiring arthrodesis.

References

Nov 1, 1975·American Journal of Surgery·T J Krizek, M C Robson
Mar 1, 1976·Journal of Biomedical Materials Research·A G GristinaJ F Nicastro
Jan 1, 1991·The Journal of Hand Surgery·T V SwansonD D Anderson
Jan 1, 1989·Journal of Orthopaedic Trauma·E M Younger, M W Chapman
Jan 1, 1988·The Journal of Hand Surgery·G Lister, L Scheker
Sep 1, 1986·Plastic and Reconstructive Surgery·M Godina
Jul 1, 1985·The Journal of Hand Surgery·J B JupiterR J Smith
Feb 1, 1973·Annals of Surgery·M E Jabaley, H D Peterson
Jan 1, 1970·Journal of Surgical Oncology·M C Robson, J P Heggers
Jan 1, 1984·The Journal of Hand Surgery·A E FreelandA M Chaves
May 1, 1981·The Journal of Hand Surgery·M H McGrath, H K Watson
Jul 1, 1995·The Journal of Hand Surgery·H L MirlyJ M Szerzinski
Jun 1, 1995·The Journal of Bone and Joint Surgery. American Volume·T A Einhorn
Jan 1, 1994·Injury·P J Meeder, C Eggers
Aug 1, 1994·The Journal of Trauma·S H ChenS Noordhoff
May 1, 1993·The Journal of Hand Surgery·R W DuncanE F Meydrech
Jun 1, 1997·Clinical Orthopaedics and Related Research·J A GouletM L Greenfield
Aug 1, 1997·Journal of Orthopaedic Trauma·W A EglsederR Roure
Jun 10, 1998·The Journal of Hand Surgery·R J StrauchJ G Lunt
Aug 26, 1998·The Journal of Hand Surgery·J W VaheyH Hastings
Apr 20, 1999·Scandinavian Journal of Plastic and Reconstructive Surgery and Hand Surgery·S StahlT Kaufman
Mar 12, 2002·The Journal of Bone and Joint Surgery. American Volume·Christopher G Finkemeier
May 21, 2003·Journal of Hand Therapy : Official Journal of the American Society of Hand Therapists·John A McAuliffe

❮ Previous
Next ❯

Citations

Jul 6, 2014·Clinics in Plastic Surgery·Reena A BhattFelix Stang
Oct 29, 2014·Orthopedics·Ahmet KinaciDavid C Ring
Dec 30, 2016·The Journal of the American Academy of Orthopaedic Surgeons·Peter Charles RheeAlexander Y Shin
May 30, 2019·Hand : Official Journal of the American Association for Hand Surgery·Yasiru G KarunaratneDavid Graham
Jan 15, 2020·International Microbiology : the Official Journal of the Spanish Society for Microbiology·José Félix Aguirre-GarridoHugo Ramírez-Saad
Oct 2, 2019·The Plant Journal : for Cell and Molecular Biology·Ryan J SpurneyRosangela Sozzani
Apr 16, 2016·Science·Deepshika RamananKen Cadwell
Oct 16, 2019·Brazilian Journal of Microbiology : [publication of the Brazilian Society for Microbiology]·Camila Rattes de Almeida CoutoLucy Seldin
Jul 11, 2019·The ISME Journal·Julia M MaritzJane M Carlton
Sep 1, 2015·SpringerPlus·Phillip R MyerHarvey C Freetly
Nov 19, 2013·Techniques in Hand & Upper Extremity Surgery·Elliot S MendelsohnSoheil Najibi

❮ Previous
Next ❯

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.

Related Papers

Hand Clinics
Alan E FreelandSheila G Lindley
Clinical Orthopaedics and Related Research
T G Terral, Alan E Freeland
Scandinavian Journal of Plastic and Reconstructive Surgery and Hand Surgery
S StahlT Kaufman
© 2021 Meta ULC. All rights reserved