Surgical treatment of aseptic forearm nonunion with plate and opposite bone graft strut. Autograft or allograft?

International Orthopaedics
C FaldiniM Chehrassan

Abstract

Adequate treatment of forearm nonunion should achieve both biological stimulation of the bone and mechanical stability. The use of bone graft could enhance the healing of a nonunion providing osteogenic, osteoconductive and osteoinductive stimulation and an optimal stability of the fixation. We retrospectively reviewed two cohorts of patients affected by forearm nonunion and treated with plate and opposite bone graft to determine whether the use of autograft versus allograft differs in terms of (1) rate of healing of the nonunion and (2) time of healing. Thirty-four patients were treated for aseptic forearm nonunion with cortical graft strut with opposite plate and intercalary graft in case of segmental bone defect. In 20 patients an autograft harvest from the fibula (group A) and in 14 (group B) an allograft provided by the bone bank of our institution were used. All the nonunions healed in a mean of four months in both groups, ranging from two to 12 months in group A and from three to ten months in group B. At the latest follow up forearm function and pain were satisfactory in both groups. The use of plate and opposite bone graft demonstrated to be effective in promoting the healing of forearm nonunions, without significant d...Continue Reading

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Citations

May 5, 2016·Journal of Orthopaedic Surgery and Research·Musa Uğur MermerkayaErkan Alkan
Jul 1, 2017·World Journal of Orthopedics·Fabrizio PernaCesare Faldini
Jan 25, 2020·Journal of Biomedical Materials Research. Part B, Applied Biomaterials·Jeremy V SuhardiEbru Oral
Oct 21, 2018·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·R J MolenaarsD Eygendaal

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