Skip to main content

Advertisement

SpringerLink
Log in

Articular bone loss treated with a staged method using bone cement or beads as a spacer and subsequent autografting: a report of two cases

  • Trauma Surgery
  • Published:
Archives of Orthopaedic and Trauma Surgery Aims and scope Submit manuscript

Abstract

Fractures with bone loss are rare. Cancellous autografting is commonly used to treat metaphyseal and diaphyseal traumatic bone loss, but little is known about the applicability of this method to the treatment of intra-articular bone loss. We report two cases of articular bone loss that were treated with a staged method of using antibiotic-impregnated bone cement in one case and beads in another as spacer in the primary phase and cancellous autografting in second-stage surgery.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Fig. 1
Fig. 2

Similar content being viewed by others

References

  1. Aalto A-M, Aro A, Teperi J. 1999. RAND 36 terveyteen liittyvän elämänlaadun mittarina. (RAND 36 as a measure of quality of life. The book in Finnish) Saarijärvi:Gummerus Kirjapaino Oy.

  2. Ahlmann E, Patzakis M, Roidis N, Shepherd L, Holtom P (2002) Comparison of anterior and posterior iliac crest bone grafts in terms of harvest-site morbidity and functional outcomes. J Bone Joint Surg Am 84-A(5):716–720

    PubMed  Google Scholar 

  3. Arrington ED, Smith WJ, Chambers HG, Bucknell AL, Davino NA (1996) Complications of iliac crest bone graft harvesting. Clin Orthop Relat Res (329):300–309

  4. Beaver RJ, Mahomed M, Backstein D, Davis A, Zukor DJ, Gross AE (1992) Fresh osteochondral allografts for post-traumatic defects in the knee: a survivorship analysis. J Bone Joint Surg Br 74:105–110

    PubMed  CAS  Google Scholar 

  5. Christian EP, Bosse MJ, Robb G (1989) Reconstruction of large diaphyseal bone loss, without free fibular transfer, in Grade-IIIB tibial fractures. J Bone Joint Surg Am 71:994–1004

    PubMed  CAS  Google Scholar 

  6. DeCoster TA, Gehlert RJ, Mikola EA, Pirela-Cruz MA (2004) Management of posttraumatic segmental bone loss. J Am Acad Orthop Surg 12:28–38

    PubMed  Google Scholar 

  7. Delawi D, Dhert WJ, Castelein RM, Verbout AJ, Oner FC (2007) The incidence of donor site pain after bone graft harvesting from the posterior iliac crest may be overestimated: a study on spine fracture patients. Spine 32(17):1865–1868

    Article  PubMed  Google Scholar 

  8. Ghazavi MT, Pritzker KP, Davis AM, Gross AE (1997) Fresh osteochondral allografts for post-traumatic osteochondral defects of the knee. J Bone Joint Surg Br 79:1008–1013

    Article  PubMed  CAS  Google Scholar 

  9. Hays RD, Morales LS (2001) The RAND-36 measure of health-related quality of life. Ann Med 33(5):350–357

    Article  PubMed  CAS  Google Scholar 

  10. Keating JF, Simpson AH, Robinson CM (2005) The management of fractures with bone loss. J Bone Joint Surg Br 87:142–150

    Article  PubMed  CAS  Google Scholar 

  11. Mahomed MN, Beaver RJ, Gross AE (1992) The long-term success of fresh, small fragment osteochondral allografts used for intraarticular post-traumatic defects in the knee joint. Orthopaedics 15:1191–1199

    CAS  Google Scholar 

  12. Masquelet AC (2003) Muscle reconstruction in reconstructive surgery: soft tissue repair and long bone reconstruction. Langenbecks Arch Surg 388:344–346 (Epub 2003 Sep 11)

    Google Scholar 

  13. Pelissier P, Martin D, Baudet J, Lepreux S, Masquelet AC (2002) Behaviour of cancellous bone graft placed in induced membranes. Br J Plast Surg 55:596–598

    Article  PubMed  Google Scholar 

  14. Pelissier P, Masquelet AC, Bareille R, Pelissier SM, Amedee J (2004) Induced membranes secrete growth factors including vascular and osteoinductive factors and could stimulate bone regeneration. J Orthop Res 22:73–79

    Article  PubMed  CAS  Google Scholar 

  15. Ristiniemi J, Lakovaara M, Flinkkilä T, Jalovaara P (2007) Staged method using antibiotic beads and subsequent autografting for large traumatic tibial bone loss. 22 of 23 fractures healed after 5–20 months. Acta Orthop 78(4):520–527

    Article  PubMed  Google Scholar 

  16. Robinson CM, McLauchlan G, Christie J, McQueen MM, Court-Brown CM (1995) Tibial fractures with bone loss treated by primary reamed intramedullary nailing. J Bone Joint Surg Br 77:906–913

    PubMed  CAS  Google Scholar 

  17. Salai M, Horoszowski H, Pritsch M, Amit Y (1999) Primary reconstruction of traumatic bony defects using allografts. Arch Orthop Trauma Surg 119:435–439

    Article  PubMed  CAS  Google Scholar 

  18. Shasha N, Krywulak S, Backstein D, Pressman A, Gross AE (2003) Long-term follow-up of fresh tibial osteochondral allografts for failed tibial plateau fractures. J Bone Joint Surg Am 85(Suppl 2):33–39

    PubMed  Google Scholar 

  19. Watson JT, Anders M, Moed BR (1995) Management strategies for bone loss in tibial shaft fractures. Clin Orthop 315:138–152

    PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Department of Orthopaedic and Trauma Surgery, Oulu University Hospital, Oulu, 90029, OYS, Finland

    J. Ristiniemi, T. Flinkkilä, H. Pakarinen & P. Jalovaara

Authors
  1. J. Ristiniemi
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. T. Flinkkilä
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. H. Pakarinen
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. P. Jalovaara
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to J. Ristiniemi.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Ristiniemi, J., Flinkkilä, T., Pakarinen, H. et al. Articular bone loss treated with a staged method using bone cement or beads as a spacer and subsequent autografting: a report of two cases. Arch Orthop Trauma Surg 129, 79–82 (2009). https://doi.org/10.1007/s00402-008-0672-0

Download citation

  • Received:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00402-008-0672-0

Keywords

Search

Navigation