足踝手术中取自胫骨远端内侧的骨移植。

Bone graft from the distal medial tibia in foot and ankle surgery.

作者信息

Singleton Tanya J, Schuberth John M

机构信息

Foot and Ankle Clinic, Kaiser South Sacramento, South Sacramento, California, USA.

出版信息

Foot Ankle Spec. 2012 Jun;5(3):168-74. doi: 10.1177/1938640012439603. Epub 2012 Apr 6.

DOI:10.1177/1938640012439603

PMID:22492930

Abstract

UNLABELLED

Autogenous bone graft is the ideal substrate for primary and revisional foot and ankle surgery. The distal medial tibia is an easily accessible site that provides both cancellous and corticocancellous autograft. Thirty cases of distal tibial bone graft with a minimum follow-up of 1 year are presented. There was an 86% union rate, and there were no stress fractures, persistent pain, or reported nerve injuries at the donor site. An efficient and versatile technique for harvesting both cancellous bone graft and corticocancellous graft is described. The use of distal tibial bone graft eliminates the need for a second surgeon and more lengthy harvest procedure and offers sufficient autograft material for foot and ankle applications with a low rate of complications.

LEVELS OF EVIDENCE

Therapeutic, Level IV.

摘要

未标注

自体骨移植是足踝初次手术和翻修手术的理想材料。胫骨远端内侧是一个易于取材的部位，可提供松质骨和皮质松质骨自体移植材料。本文报告了30例胫骨远端骨移植病例，随访时间至少1年。骨愈合率为86%，供区未发生应力性骨折、持续性疼痛或神经损伤报告。本文描述了一种高效且通用的获取松质骨移植材料和皮质松质骨移植材料的技术。使用胫骨远端骨移植无需额外的手术医生，减少了取材操作时间，可为足踝手术提供足够的自体移植材料，且并发症发生率低。