We have followed 171 allograft reconstructions for more than 1 year and made the following observations. Knee arthrodesis (46). 1 infection, 6 fractures and 16 delayed unions. There were 3 major reoperations. 36 patients had satisfactory (excellent or good) result. Hip arthrodesis (1 1). 6 delayed union with 2 major and 1 minor reoperation. 8 patients had satisfactory result. Intercalay reconstruction (36). 3 infections, 9 fractures and 17 non-unions. A reoperation was performed in 18 patients. Segmental reconstruction, VF+A (28). 1 infection and 7 fractures. 3 patients were reoperated. Osteoarticular reconstruction (35). 10 fractures and 10 delayed unions. I2patients were reoperated. Composite allografts (6 hips). No reoperations and excel- lent results in all cases. Pelvic reconstructions (9). 1 infection and3 instabilities, 6 patients had an excellent result. In conclusion we had the best results with arthrodesis and recommend a combination with a vascularizedfibulafor inter- calary grafts. The best indication for an osteoarticular graft seems to be the elbow, wrist and hip.
Allograft reconstruction in bone tumor surgery
CAPANNA, RODOLFO;
1994-01-01
Abstract
We have followed 171 allograft reconstructions for more than 1 year and made the following observations. Knee arthrodesis (46). 1 infection, 6 fractures and 16 delayed unions. There were 3 major reoperations. 36 patients had satisfactory (excellent or good) result. Hip arthrodesis (1 1). 6 delayed union with 2 major and 1 minor reoperation. 8 patients had satisfactory result. Intercalay reconstruction (36). 3 infections, 9 fractures and 17 non-unions. A reoperation was performed in 18 patients. Segmental reconstruction, VF+A (28). 1 infection and 7 fractures. 3 patients were reoperated. Osteoarticular reconstruction (35). 10 fractures and 10 delayed unions. I2patients were reoperated. Composite allografts (6 hips). No reoperations and excel- lent results in all cases. Pelvic reconstructions (9). 1 infection and3 instabilities, 6 patients had an excellent result. In conclusion we had the best results with arthrodesis and recommend a combination with a vascularizedfibulafor inter- calary grafts. The best indication for an osteoarticular graft seems to be the elbow, wrist and hip.I documenti in IRIS sono protetti da copyright e tutti i diritti sono riservati, salvo diversa indicazione.
