Bone grafting in foot and ankle surgery. A review of 300 cases

Journal of the American Podiatric Medical Association
K T Mahan, H J Hillstrom

Abstract

Three hundred foot and ankle bone grafts were reviewed in three separate series of 100 consecutive grafts from two institutions. The series represent a period from 1977 to 1990 and demonstrate treatment patterns that varied over time and between institutions in indications, graft material, and perioperative management. Over 42% of the 300 grafts were for calcaneal osteotomies; most were Evans calcaneal osteotomies. Over 72% of the grafts were allogeneic bone-bank bone, which performed well in calcaneal osteotomies and for packing of defects. Upon review of the incidence of bone complications, no significant differences were observed between surgical procedures that used autogenous versus allogeneic grafts. However, four out of six failures of first metatarsal repair were with allogeneic bone. There was a significant difference in complication rates for the major indications for bone-graft surgery. Nonunions and arthrodeses resulted in higher complication rates than expected, whereas calcaneal osteotomies resulted in a lower complication rate than expected.

Citations

Jul 2, 2014·Clinics in Podiatric Medicine and Surgery·Matthew J HentgesRichard Derner
Dec 3, 2014·Clinics in Podiatric Medicine and Surgery·Naohiro Shibuya, Daniel C Jupiter
Dec 19, 2013·The Journal of Foot and Ankle Surgery : Official Publication of the American College of Foot and Ankle Surgeons·Naohiro ShibuyaDaniel C Jupiter
Feb 22, 2012·Journal of Biomechanics·J BayodM Doblaré
Nov 1, 2011·The Journal of Foot and Ankle Surgery : Official Publication of the American College of Foot and Ankle Surgeons·Naohiro ShibuyaJavier La Fontaine
Jun 15, 2011·Clinics in Podiatric Medicine and Surgery·Molly Schnirring-Judge
Apr 13, 2010·The Journal of Foot and Ankle Surgery : Official Publication of the American College of Foot and Ankle Surgeons·Shine JohnKarl Saltrick
Sep 26, 2009·Clinics in Podiatric Medicine and Surgery·Emily A Cook, Jeremy J Cook
Jul 7, 2009·The Journal of Foot and Ankle Surgery : Official Publication of the American College of Foot and Ankle Surgeons·Daniel YarmelAmber Treaster
Jan 6, 2009·Clinics in Podiatric Medicine and Surgery·Lara J MurphyAlan R Catanzariti
Oct 3, 2007·Clinics in Podiatric Medicine and Surgery·Joel HixAlan R Catanzariti
Mar 3, 2007·The Journal of Foot and Ankle Surgery : Official Publication of the American College of Foot and Ankle Surgeons·Sally FeeneyMark Tagoe
Apr 19, 2005·Clinics in Podiatric Medicine and Surgery·Brian E DeYoe, Jeremy Wood
Aug 4, 2015·Foot and Ankle Surgery : Official Journal of the European Society of Foot and Ankle Surgeons·Craig R LareauChristopher W DiGiovanni
Feb 21, 2008·BMC Developmental Biology·Pablo J RossJose B Cibelli
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May 21, 2003·Journal of the American Podiatric Medical Association·Kieran T MahanGlenn D Weinfeld
Nov 20, 2002·Journal of the American Podiatric Medical Association·Stephen J Miller
Oct 27, 2017·Foot & Ankle International·Rachael J Da CunhaMark C Drakos
Oct 18, 2018·BMC Musculoskeletal Disorders·Ki Hyuk SungMoon Seok Park
Jun 29, 1999·The Journal of Foot and Ankle Surgery : Official Publication of the American College of Foot and Ankle Surgeons·J P BarrettH J Hillstrom

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