Volume : VIII, Issue : VII, July - 2019

Critical analysis of Autogenous Bone Grafts in Hand Surgery - A Review of 24 Patients

Gopi Renganathan, R Venkatnaryanan

Abstract :

Abstract Introduction:: The need for smaller grafts & requirement of articular surfaces makes the bone grafting in hand surgery challenging. Materials and Methods: All successive patients who underwent autogenous bone grafts for acquired bone gaps in hand in 2 years were studied. Results : 24 cases were studied where cause of defect was trauma (71%) & tumour (29%). The productive age group individual had more such defects (62.5%). The grafted bones were Metacarpals (38%), proximal and middle phalanx (17%) each, terminal phalanx (4%) and for the osteoplastic reconstruction of thumb (25%). Non vascularized grafts for 92% & vascularized grafts in 8% cases were used. Monocortical grafts were used in 50% while segmental (17%), cancellous (12%), and articular grafts (21%). The bone graft survival was 96% in all. Discussion: The challenge of grafting smaller bone gaps revealed interesting findings. Monocortical grafts were sturdy, lasting and easier to harvest providing the most viable option for bone defects of hand. Bone grafts under a pedicled flap cover tend to get more resorbed than with vascularized or with islanded flap. Conclusion: The bone grafting for smaller defects of hand bones need meticulous planning and timed execution.

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Article: Download PDF   DOI : 10.36106/ijsr  

Cite This Article:

CRITICAL ANALYSIS OF AUTOGENOUS BONE GRAFTS IN HAND SURGERY - A REVIEW OF 24 PATIENTS, Gopi Renganathan, R Venkatnaryanan INTERNATIONAL JOURNAL OF SCIENTIFIC RESEARCH : Volume-8 | Issue-7 | July-2019

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