Telescopic mating technique for bulk allograft reconstruction.
Bulk allograft reconstruction plays an important role in limb-salvage reconstructive surgery but is complicated by nonunion in up to one-third of cases. Because allograft-host healing is mediated via creeping substitution, intimate bone contact is desirable. Intraoperative assessment and optimization of the allograft-host junction site using a conventional transverse osteotomy is challenging and may result in slight gapping. Speculatively, this may result in longer healing times and may contribute to the high rate of non-union. Minimizing the nonunion rate and time to union are of value. This article describes the telescopic mating technique, which allows for substantially greater bone contact across the allograft-host junction site.
Department of Orthopaedic Surgery, The Albert Einstein College of Medicine of Yeshiva University, Montefiore Medical Center, 3400 Bainbridge Ave, Bronx, NY 10467, USA.
Christopher K
CK
Singh
David S
DS
Geller
D001859:Bone Neoplasms / Q000601:surgery*; D016025:Bone Transplantation / Q000379:methods*; D002648:Child; D006801:Humans; D008297:Male; D011884:Radius / Q000601:surgery*; D019651:Plastic Surgery Procedures / Q000379:methods*; D013977:Tibia / Q000601:surgery*; D016896:Treatment Outcome; D014457:Ulna / Q000601:surgery*