Catanzariti A R
Department of Surgery, Podiatry Hospital of Pittsburgh, PA, USA.
J Foot Ankle Surg. 1996 Sep-Oct;35(5):463-73. doi: 10.1016/s1067-2516(96)80068-8.
This article reviews the various sites in the foot and ankle where the use of a bone graft to enhance arthrodesis may be indicated. Specific indications are reviewed in detail and demonstrated with clinical examples. Bone graft classification is discussed along with a comparison of autografts and allografts. The controversy surrounding the use of allogenic bone in arthrodesis sites is also thoroughly reviewed. Lastly, this article discusses factors influencing selection of fixation devices and surgical techniques that will promote osseous consolidation and enhance primary union when bone grafts are used in arthrodesis sites.
本文回顾了足踝部各个可能需要使用骨移植来增强关节融合的部位。详细讨论了具体的适应证，并通过临床实例进行说明。同时探讨了骨移植的分类以及自体骨与异体骨的比较。还对关节融合部位使用同种异体骨的相关争议进行了全面回顾。最后，本文讨论了影响固定装置选择的因素以及在关节融合部位使用骨移植时能够促进骨愈合和增强一期愈合的手术技术。
