Abstract
The clinical use of massive bone allografts in orthopaedic surgery has become common practice in tumour operations and primary and revision total joint replacement. In certain special clinical situations associated with large bone loss, such as trauma, limb-length discrepancy repair or even infection, massive bone allografts can be successfully used. We present our treatment results of 47 patients who suffered from major bone loss due either to trauma, limb-length discrepancy repair, or infection. Our results (> 2 years minimum follow-up to allow full-bone allograft incorporation) indicate that the use of massive bone allografts in these special and delicate medical conditions is feasible, and have good functional results.
This is a preview of subscription content, log in via an institution to check access.
Similar content being viewed by others
References
Burchardt H (1996) Current concepts in bone grafting. In A Czitron and H Winkler (eds) Orthopedic Allograft Surgery, pp. 219-223. Wien: Springer-Verlag.
Chmell MJ and McAndrew NP (1995) Structural allografts for reconstruction of lower extremity open fractures with 10 centimeters or more of acute segmental defects. J Orthop Trauma 3: 222-226.
Christian EP, Bosse MJ and Robb G (1989) Reconstruction of large diaphyseal defects, without free fibula transfer in grade III-B tibial fractures. J Bone Joint Surg (Am) 71: 994-1003.
Dagher F and Roukoz S (1991) Compound tibial fractures with bone loss treated by Ilizarov technique. J Bone Joint Surg (Br) 73: 316-321.
Gross A, Gorbus D and Morsi E (1996) Revision arthroplasty of the acetabulum with restoration of bone stock. In A Czitron and H Winkler (eds) Orthopedic Allograft Surgery, pp. 101-112. Wien: Springer-Verlag.
Gustilo RB and Anderson JT (1976) Prevention of infection in the treatment of one thousand and twenty-five open fractures of long bones: retrospective and prospective analysis. J Bone Joint Surg (Am) 58: 453-458.
Helfet D, Howey T, Sanders R and Johansen K (1990) Limb salvage versus amputation: preliminary results of the Mangled Extremity Severity Score. Clin Orthop 256: 80-86.
Paley D, Catagni MA, Argnani F, Villa A, Benedetti B and Cattaneo R (1989) Ilizarov treatment of tibial nonunions with bone loss. Clin Orthop 241: 146-165.
Raschke MJ, Mann JW, Oedekoven G and Claudi B (1992) Segmental transport after unreamed intramedullary nailing: preliminary report of a 'monorail' system. Clin Orthop 282: 233-240.
Salai M, Amit Y, Velkes S and Horoszowski H (1996) The role of massive bone allografts in traumatic bone loss. In A Czitron and H Winkler (eds) Orthopedic Allograft Surgery, pp. 219-223. Wien: Springer-Verlag.
Salai M, Horoszowski H, Pritsch PM and Amit Y (1999) Primary reconstruction of traumatic bone defects using allografts. Arch Orthop Trauma Surg 118: 323-328.
Sarkar N, Schulte N, Bauer G and Hartwig E (1997) Clinical results and organizational aspects of autogenous and allogenous bone grafting in the treatment of 226 patients with primary osseous neoplasm. In GO Phillips, R von Versen, N Strong and A Nather (eds) Advances in Tissue Banking. 1. pp. 141-146. Singapore: World Scientific.
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Salai, M., Dudkiewitz, I., Amit, Y. et al. Versatile Utilization of Massive Bone Allografts in Orthopedic Surgery. Cell Tissue Banking 1, 223–227 (2000). https://doi.org/10.1023/A:1026532220406
Issue Date:
DOI: https://doi.org/10.1023/A:1026532220406