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Plate augmentation and autologous bone grafting after intramedullary nailing for challenging femoral bone defects: a technical note

Authors
 Kyu-Hyun Yang  ;  Yougun Won  ;  Sang Bum Kim  ;  Byung-Hak Oh  ;  Young Chang Park  ;  Sang Jin Jeong 
Citation
 ARCHIVES OF ORTHOPAEDIC AND TRAUMA SURGERY, Vol.136(10) : 1381-1385, 2016 
Journal Title
ARCHIVES OF ORTHOPAEDIC AND TRAUMA SURGERY
ISSN
 0936-8051 
Issue Date
2016
MeSH
Adult ; Bone Plates* ; Bone Transplantation/methods* ; Femoral Fractures/surgery* ; Fracture Fixation, Intramedullary/instrumentation ; Fracture Fixation, Intramedullary/methods* ; Humans ; Ilium/transplantation* ; Male ; Middle Aged ; Transplantation, Autologous
Keywords
Bone defect ; Intramedullary nailing ; Plate augmentation
Abstract
The treatment of a large segmental defect of over 6 cm in a long bone is a challenging procedure. Treatment options include cancellous bone graft (e.g., the Masquelet technique), vascularized fibular graft (VFG), and internal bone transport (IBT) with an external fixator. These methods may be performed with intramedullary (IM) nailing or plate fixation to enhance stability or to lessen the time of external fixation. Each method has its own advantages and limitations. This study aimed to describe the advantages of additional plate augmentation and autologous bone grafting after IM nail implantation. Three patients with large segmental femoral bone defects were treated with IM nail implantation; then, one- or two-stage autologous iliac bone grafting with additional plate augmentation was performed. All patients achieved bony union without metal failure. We describe a technique involving additional plate augmentation and autologous iliac bone grafting for treating large femoral defects after restoring the length of the femur using an IM nail implantation and an external fixator.
Full Text
https://link.springer.com/article/10.1007%2Fs00402-016-2522-9
DOI
10.1007/s00402-016-2522-9
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Orthopedic Surgery (정형외과학교실) > 1. Journal Papers
Yonsei Authors
Park, Young Chang(박영창)
Yang, Kyu Hyun(양규현) ORCID logo https://orcid.org/0000-0001-7183-588X
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/152092
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