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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,

. 2017 ; 27 (6) : 797-804. [pub] 20170613

Jazyk angličtina Země Francie

Typ dokumentu časopisecké články

Perzistentní odkaz   https://www.medvik.cz/link/bmc18024941
E-zdroje Online Plný text

NLK ProQuest Central od 1998-02-01 do Před 1 rokem
Nursing & Allied Health Database (ProQuest) od 1998-02-01 do Před 1 rokem
Health & Medicine (ProQuest) od 1998-02-01 do Před 1 rokem

Odkazy

PubMed 28612249
DOI 10.1007/s00590-017-1990-0
Knihovny.cz E-zdroje

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.

Citace poskytuje Crossref.org

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