ArticleInternational orthopaedics2015
Surgical treatment of aseptic forearm nonunion with plate and opposite bone graft strut. Autograft or allograft?
Article in International orthopaedics, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.
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Who cites it
12 citing papers in PubMed, 31 citations in OpenAlex.
- Cortical allograft strut augmented with platelet-rich plasma for the treatment of long bone non-union in lower limb- a pilot study.BMC musculoskeletal disorders · 2022Trial
- [Complication management of shaft fractures of the upper extremities : From revision surgery to rehabilitation].Unfallchirurgie (Heidelberg, Germany) · 2025Review
- Management of Extra-Articular and Intra-Articular Distal Radius Malunion.Life (Basel, Switzerland) · 2024Review
- Non-Union Treatment in the Foot, Ankle, and Lower Leg: A Multicenter Retrospective Study Comparing Conventional Treatment with the Human Allogeneic Cortical Bone Screw (Shark ScrewJournal of personalized medicine · 2024Article
- Combination therapy with BMSCs‑exosomes and porous tantalum for the repair of femur supracondylar defects.Molecular medicine reports · 2023Article
- Elbow hemiarthroplasty with a 3D-printed prosthesis for distal humeral bone defects after tumor excision: a case report.3D printing in medicine · 2023Article
- Onlay fibula autografting technique and its comparison with cortical allograft for the reconstruction of periprosthetic bone defects around the femur.International orthopaedics · 2021Article
- Advances in Filament Structure of 3D Bioprinted Biodegradable Bone Repair Scaffolds.International journal of bioprinting · 2021Review
- There is a role for allografts in reconstructive surgery of the elbow and forearm.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2019Review
- Two-stage surgical treatment for septic non-union of the forearm.World journal of orthopedics · 2017Article
- Forearm nonunion caused by hyperparathyroidism with 7 years follow up: A case report.International journal of surgery case reports · 2017Article
- Scintigraphic evaluation of the osteoblastic activity of rabbit tibial defects after HYAFF11 membrane application.Journal of orthopaedic surgery and research · 2016Article
Corrections and comments
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Authors and funding
6 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purpose of the studyAdequate treatment of forearm nonunion should achieve both biological stimulation of the bone and mechanical stability. The use of bone graft could enhance the healing of a nonunion providing osteogenic, osteoconductive and osteoinductive stimulation and an optimal stability of the fixation. We retrospectively reviewed two cohorts of patients affected by forearm nonunion and treated with plate and opposite bone graft to determine whether the use of autograft versus allograft differs in terms of (1) rate of healing of the nonunion and (2) time of healing. MATERIALS AND
methodsThirty-four patients were treated for aseptic forearm nonunion with cortical graft strut with opposite plate and intercalary graft in case of segmental bone defect. In 20 patients an autograft harvest from the fibula (group A) and in 14 (group B) an allograft provided by the bone bank of our institution were used.
resultsAll the nonunions healed in a mean of four months in both groups, ranging from two to 12 months in group A and from three to ten months in group B. At the latest follow up forearm function and pain were satisfactory in both groups.
conclusionThe use of plate and opposite bone graft demonstrated to be effective in promoting the healing of forearm nonunions, without significant differences in terms of rate and time of healing in the two groups. Considering the higher surgical time and the comorbidity of the donor site, if a bone bank is available, we suggest to use homologous cortical bone strut graft with opposite plate and screw fixation for the treatment of aseptic forearm nonunion rather than autograft.
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