Treatment of non-unions of fractures of the tibial diaphysis by posterolateral cortical cancellous bone-grafting

A series of forty-four consecutive tibial diaphyseal fractures with non-unions were treated over a thirteen-year period (1965 to 1978). The majority of these injuries were complicated by severe soft-tissue damage, segmental bone loss, or infection, and multiple previous operative attempts had been m...

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Bibliographic Details
Published inJournal of bone and joint surgery. American volume Vol. 62; no. 6; p. 936
Main Authors Reckling, F W, Waters, 3rd, C H
Format Journal Article
LanguageEnglish
Published United States 01.09.1980
Subjects
Adolescent
Adult
Bone Transplantation
Female
Fractures, Closed - surgery
Fractures, Open - surgery
Fractures, Ununited - surgery
Humans
Male
Methods
Middle Aged
Postoperative Complications
Tibial Fractures - surgery
Transplantation, Autologous
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Summary:A series of forty-four consecutive tibial diaphyseal fractures with non-unions were treated over a thirteen-year period (1965 to 1978). The majority of these injuries were complicated by severe soft-tissue damage, segmental bone loss, or infection, and multiple previous operative attempts had been made to obtain union. Cortical cancellous bone grafts were inserted posterolaterally and union was obtained in all but one fracture. Two bone-grafting procedures each were needed in three patients. Good to excellent functional results were obtained in forty-three of the forty-four involved extremities.
ISSN:0021-9355
DOI:10.2106/00004623-198062060-00009