Shibuya Naohiro, Jupiter Daniel C
Section of Podiatry, Department of Surgery, Texas A&M University Health Science Center, College of Medicine, Central Texas Health Care System, Baylor Scott and White Health Care System, Temple, TX, USA.
Preventive Medicine and Community Health, University of Texas Medical Branch, Galveston, TX, USA.
Clin Podiatr Med Surg. 2015 Jan;32(1):21-34. doi: 10.1016/j.cpm.2014.09.011.
Rapid bone graft incorporation for structural rigidity is essential. Early range of motion, exercise, and weight-bearing are keys to rehabilitation. Structural and nonstructural bone grafts add length, height, and volume to alter alignment, function, and appearance. Bone graft types include: corticocancellous autograft, allograft, xenograft, and synthetic graft. Autogenic grafts are harvested from the patient, less likely to be rejected, and more likely to be incorporated; however, harvesting adds a procedure and donor site complication is common. Allografts, xenografts, and synthetic grafts eliminate secondary procedures and donor site complications; however, rejection and slower incorporation can occur.
实现快速骨移植融合以获得结构刚性至关重要。早期活动范围、锻炼和负重是康复的关键。结构性和非结构性骨移植可增加长度、高度和体积,以改变对线、功能和外观。骨移植类型包括:皮质松质自体骨移植、同种异体骨移植、异种骨移植和合成骨移植。自体移植取自患者自身,排斥反应可能性较小,融合可能性较大;然而,采集会增加一个手术步骤,供区并发症很常见。同种异体骨移植、异种骨移植和合成骨移植可避免二次手术和供区并发症;然而,可能会发生排斥反应且融合较慢。