Storage of an autogenous cortical bone graft in a subcutaneous pouch with subsequent transplantation.
A 31-year-old motorcyclist presented with an open contaminated comminuted fracture of the shaft of the femur. The extruded diaphyseal segments were stored in a subcutaneous pouch in the thigh and subsequently replaced in the fracture site as a composite graft with iliac bone. The interval of in vito storage provided time for evaluation of infection and apparently allowed the bone to possess a limited degree of viability and function as a fresh autogenous graft.
D000328:Adult; D016025:Bone Transplantation; D005264:Femoral Fractures / Q000601:surgery*; D005269:Femur / Q000637:transplantation; D005593:Fracture Fixation, Internal; D005597:Fractures, Open / Q000601:surgery*; D006801:Humans; D007085:Ilium / Q000637:transplantation; D008297:Male; D013978:Tibial Fractures / Q000601:surgery; D014021:Tissue Preservation / Q000379:methods*; D014945:Wound Healing; D014946:Wound Infection / Q000601:surgery