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Autologous structural iliac bone grafts in reconstructions of short bone defects in the hand and foot after primary bone tumor resections: a single-institution retrospective study
J. Lesensky, K. Nemec, I. Kofranek, Z. Matejovsky,
Language English Country France
Document type Journal Article
NLK
ProQuest Central
from 1998-02-01 to 1 year ago
Nursing & Allied Health Database (ProQuest)
from 1998-02-01 to 1 year ago
Health & Medicine (ProQuest)
from 1998-02-01 to 1 year ago
- MeSH
- Arthroplasty adverse effects methods MeSH
- Autografts MeSH
- Walking MeSH
- Adult MeSH
- Foot Joints diagnostic imaging surgery MeSH
- Hand Joints diagnostic imaging surgery MeSH
- Middle Aged MeSH
- Humans MeSH
- Adolescent MeSH
- Young Adult MeSH
- Bone Neoplasms diagnostic imaging surgery MeSH
- Foot Diseases diagnostic imaging surgery MeSH
- Ilium transplantation MeSH
- Radiography MeSH
- Retrospective Studies MeSH
- Hand diagnostic imaging surgery MeSH
- Aged, 80 and over MeSH
- Aged MeSH
- Hand Strength MeSH
- Plastic Surgery Procedures adverse effects methods MeSH
- Check Tag
- Adult MeSH
- Middle Aged MeSH
- Humans MeSH
- Adolescent MeSH
- Young Adult MeSH
- Male MeSH
- Aged, 80 and over MeSH
- Aged MeSH
- Female MeSH
- Publication type
- Journal Article MeSH
The use of structural autografts from the iliac crest for reconstruction of bony defects in the hand and foot was described by Wilson and Lance in 1965. However, very few series of this technique are published and long-term results are unknown. We present a single-institution series of 23 patients with a mean follow-up of 92 months. We also describe a novel modification of this technique using the anterior superior iliac spine for reconstruction of the adjacent joint. Failure rate was 13% at mean of 17.3 months. All patients had a firm grip in the hand and walked without support. Bony fusion was achieved in all cases regardless of the type of fixation used. The use of ASIS for joint reconstruction was successful, particularly in low-demand joints. We encountered 1 case of instability and progressive stiffness in weight-bearing joints. This is a reliable method of reconstructing bony defects in the hand or foot following tumor resections.
References provided by Crossref.org
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