ArticleJournal of surgical case reports2025
Use of personalized graft cage and RIA bone graft in a case of acute infection following a grade 2 open tibial shaft fracture: a new option for bone grafting in patients with critical size segmental bone defects.
Article in Journal of surgical case reports, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper, 1 of them a synthesis that pooled it.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
1 citing paper in PubMed, 1 synthesis or guideline pooled it.
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Authors and funding
8 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Critical size segmental bone defects represent a challenging problem. Recently, personalized, structured three-dimensional graft cages have been developed to improve ingrowth of autologous bone material and reduce resorption. A 44-year-old patient presented with an open tibial shaft fracture after a motorcycle incident with minor bone loss. Following intramedullary nailing, an acute infection developed that required removal of ~4 cm bone in a circular mode. After multiple interventions, a personalized 3D-printed graft cage was implanted and filled with autologous bone material, harvested by intramedullary reaming from the ipsilateral femur. Ten months postoperatively, the patient is completely pain free and shows good clinical and radiological status. In conclusion, use of a 3D-printed graft cage in combination with Reamer Irrigator Aspirator (RIA) might represent a new additional feature for larger bone defects to avoid gravity or perfusion related resorption of large area defects.
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