title: Impaction bone grafting of segmental bone defects in femoral non-unions.
abstract: Impaction bone grafting shows encouraging early results as a method of immediately restoring leg length, while allowing weight-bearing as tolerated, in the treatment of large segmental femoral defects after femoral shaft and metaphyseal non-unions. The operative technique followed is described in three consecutive cases and the effectiveness of impaction bone grafting for femoral non-unions with associated large segmental bone defects has been demonstrated. Between 80 and 120 cm3 of coarsely milled irradiated bone allograft was used to reconstruct the defects, which were contained in malleable metal mesh. All three patients were fully weight-bearing by three months postoperatively. At two years follow-up, plain radiographs demonstrated maintenance of reduction and healing in all three cases.
authors.affiliation: Centre for Orthopaedic and Trauma Research, The University of Adelaide, Adelaide, Australia.
authors.forename: Lucian B
authors.initials: LB
authors.lastname: Solomon
authors.forename: Stuart A
authors.initials: SA
authors.lastname: Callary
authors.forename: P R J V C
authors.initials: PR
authors.lastname: Boopalan
authors.forename: Adhiraj
authors.initials: A
authors.lastname: Chakrabarty
authors.forename: John J
authors.initials: JJ
authors.lastname: Costi
authors.forename: Donald W
authors.initials: DW
authors.lastname: Howie
mesh_terms: D000328:Adult; D016025:Bone Transplantation / Q000379:methods*; D003646:Debridement; D005260:Female; D005264:Femoral Fractures / Q000150:complications / Q000000981:diagnostic imaging / Q000601:surgery*; D005593:Fracture Fixation, Internal; D005599:Fractures, Ununited / Q000150:complications / Q000000981:diagnostic imaging / Q000601:surgery*; D006801:Humans; D007870:Leg Length Inequality / Q000209:etiology / Q000601:surgery; D008297:Male; D014057:Tomography, X-Ray Computed; D017211:Treatment Failure; D016474:Weight-Bearing