Technique to prepare the bed for autologous bone grafting in nonunion surgery.
This article describes a technique for preparing the bed for autologous bone grafting in nonunion surgery. The procedure is divided into 2 steps. First, both ends of the fracture fragments are chipped into small pieces using an osteotome and hammer without peeling off the periosteum, creating pathways into the bone marrow. Second, cancellous bone harvested from the iliac crest is grafted into the aperture created by the previous bone chipping treatment. The technique is easy to perform and is a promising approach for enhancing bone healing in nonunion and delayed union.
Department of Orthopaedic Surgery, Kobe University Graduate School of Medicine, Chuo-ku, Kobe, Japan. tniikura@ med.kobe-u.ac.jp
Takahiro
T
Niikura
Masahiko
M
Miwa
Sang Yang
SY
Lee
Keisuke
K
Oe
Takashi
T
Iwakura
Yoshitada
Y
Sakai
Akihiro
A
Koh
Takaaki
T
Koga
Yoshihiro
Y
Dogaki
Etsuko
E
Okumachi
Masahiro
M
Kurosaka
D000293:Adolescent; D000328:Adult; D000368:Aged; D016025:Bone Transplantation / Q000295:instrumentation / Q000379:methods*; D005260:Female; D017759:Fractures, Malunited / Q000000981:diagnostic imaging / Q000601:surgery*; D006801:Humans; D007085:Ilium / Q000637:transplantation*; D008297:Male; D011859:Radiography; D013812:Therapeutics; D055815:Young Adult