Bone Grafting in Surgery About the Foot and Ankle: Indications and Techniques

Bone grafting is a common procedure in foot and ankle surgery. Historically, autogenous bone graft has most often been harvested from the ipsilateral iliac crest. However, other sites offer similar volumes of cancellous bone and are associated with fewer complications. The ipsilateral proximal tibia...

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Veröffentlicht in:Journal of the American Academy of Orthopaedic Surgeons 2011-02, Vol.19 (2), p.112-120
Hauptverfasser: Fitzgibbons, Timothy C, Hawks, Michael A, McMullen, Scott T, Inda, David J
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container_title Journal of the American Academy of Orthopaedic Surgeons
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creator Fitzgibbons, Timothy C
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McMullen, Scott T
Inda, David J
description Bone grafting is a common procedure in foot and ankle surgery. Historically, autogenous bone graft has most often been harvested from the ipsilateral iliac crest. However, other sites offer similar volumes of cancellous bone and are associated with fewer complications. The ipsilateral proximal tibia, distal tibia, and calcaneus provide adequate amounts of bone graft material for most arthrodesis procedures about the foot and ankle. Emerging techniques have enabled the development of a seemingly unlimited supply of alternative bone graft materials with osteoconductive properties. The osteoprogenitor cells in bone marrow aspirates can be concentrated by use of selective retention systems. These aspirate-matrix composites may be combined with allograft preparations, resulting in a product that promotes osteoconduction, osteoinduction, and osteogenesis with limited morbidity.
doi_str_mv 10.5435/00124635-201102000-00006
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subjects Ankle
Ankle Injuries - surgery
Bone marrow
Bone Marrow Transplantation
Bone Transplantation - methods
Bone-grafting
Complications and side effects
Foot
Foot Injuries - surgery
Humans
Ilium - transplantation
Injuries
Methods
Tibia - transplantation
Transplantation
title Bone Grafting in Surgery About the Foot and Ankle: Indications and Techniques
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