TY - JOUR
T1 - Use of demineralized bone matrix in hindfoot arthrodesis
AU - Michelson, James D.
AU - Curl, Leigh Ann
PY - 1996
Y1 - 1996
N2 - Fifty-five patients considering a hindfoot fusion performed by the senior author over a 5-year period were given the choice of having the fusion augmented by either iliac crest bone graft or demineralized bone graft in a study of the relative efficacy of these 2 methods of bone grafting. Eleven patients underwent subtalar fusion (average age, 40.1 ± 14.0 years), and 44 had a triple arthrodesis (average age, 54.6 ± 19.2 years). The most common indications for surgery were posterior tibial tendon insufficiency and traumatic arthritis. There were no significant differences between groups regarding underlying disease, medications, or associated medical conditions. In isolated subtalar fusions, all 3 patients who received an iliac crest bone graft experienced healing, as did 7 of 8 patients who received demineralized bone graft. The eighth patient had a radiographic nonunion without clinical symptoms. Complete healing of triple arthrodeses was achieved in 13 of 15 patients who received an iliac crest bone graft and in 29 of 29 patients receiving a demineralized bone graft. There were no intergroup differences in the time to union, which generally was between 3 and 4 months. Intraoperative blood loss was significantly less with demineralized bone graft (33 ± 25 ml) than with iliac crest hone graft (206 ± 192 ml). This study demonstrated that demineralized bone graft aids arthrodesis at least as well as does iliac crest bone graft, without the increased blood loss, cost, and postoperative pain associated with iliac crest bone harvest.
AB - Fifty-five patients considering a hindfoot fusion performed by the senior author over a 5-year period were given the choice of having the fusion augmented by either iliac crest bone graft or demineralized bone graft in a study of the relative efficacy of these 2 methods of bone grafting. Eleven patients underwent subtalar fusion (average age, 40.1 ± 14.0 years), and 44 had a triple arthrodesis (average age, 54.6 ± 19.2 years). The most common indications for surgery were posterior tibial tendon insufficiency and traumatic arthritis. There were no significant differences between groups regarding underlying disease, medications, or associated medical conditions. In isolated subtalar fusions, all 3 patients who received an iliac crest bone graft experienced healing, as did 7 of 8 patients who received demineralized bone graft. The eighth patient had a radiographic nonunion without clinical symptoms. Complete healing of triple arthrodeses was achieved in 13 of 15 patients who received an iliac crest bone graft and in 29 of 29 patients receiving a demineralized bone graft. There were no intergroup differences in the time to union, which generally was between 3 and 4 months. Intraoperative blood loss was significantly less with demineralized bone graft (33 ± 25 ml) than with iliac crest hone graft (206 ± 192 ml). This study demonstrated that demineralized bone graft aids arthrodesis at least as well as does iliac crest bone graft, without the increased blood loss, cost, and postoperative pain associated with iliac crest bone harvest.
UR - http://www.scopus.com/inward/record.url?scp=0029961038&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=0029961038&partnerID=8YFLogxK
U2 - 10.1097/00003086-199604000-00024
DO - 10.1097/00003086-199604000-00024
M3 - Article
C2 - 8998877
AN - SCOPUS:0029961038
SN - 0009-921X
VL - 325
SP - 203
EP - 208
JO - Clinical orthopaedics and related research
JF - Clinical orthopaedics and related research
ER -