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KMID : 0922220040040020119
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Journal of the Korean Musculoskeletal Transplantation Society
2004 Volume.4 No. 2 p.119 ~ p.125
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Allogenous Bone Graft for Fractures of Long Bones
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Lee Sung-Churl
Seo Joong-Bae
Kim Ki-Young
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Abstract
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Purpose: To evaluate the results of allogenous bone graft for fresh fractures of long bones with comminution.
Materials and Methods: Forty-seven cases that had been treated with allogenous bone graft for comminuted fractures of the long bones from 1998 to 2002, were reviewed retrospectively. They were fractures of 13 femurs (10 diaphyses and 3 metaphyses), 16 tibias (13 diaphyses and 3 metaphyses), 5 humeri (4 diaphyses and 1 metaphyses), 3 radii (3 diaphyses) and 10 clavicles (9 diaphyses and 1 metaphyses). Allogenous bone was mixed with autogenous graft for 11 cases (6
femurs, 4 tibias and 1 humerus) among them. Average follow-up period was 27.1 months. Allogenous bones were obtained from live donors after total hip or knee joint replacements, and stored in refrigerator below -70℃. Screening tests such as hepatitis, AIDS and syphilis were done for preventing from transmissible diseases.
Results: Fracture union was achieved in 38 cases (80.9%), and average union duration was 6.6 months in femurs, 6.3 month in tibias, 6 months in humeri, 4 months in radii and 3.8 months in clavicles. Postoperative infections developed in 6 cases as complication.
Conclusion: Acceptable range of fracture union rate has been achieved with allogenous bone grafting for comminuted fractures of the long bones. Considering its lower union rate, longer union duration and more frequent infections than autogenous graft, allogenous bone grafting is recommendable as the second best way only when autogenous bone graft is not available.
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KEYWORD
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Comminuted fracture of long bones, Bone defect, Allogenous bone graft
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