Treatment of upper limb bone defects with autogenous cancellous bone graft wrapped by femoral fascia

• DOI: 10.3760/cma.j.issn.1005-054x.2019.02.016
• Publication Date: 2019-04-10
• Authors: Xiaofei Han; Haifeng Li; Zihong Zhou; Jijun Zhao; Yongjun Rui; Yajun Xu; Qudong Yin; Sanjun Gu; Zhenzhong Sun
• Keywords: Cancellous bone

Objective To explore the feasibility and effect of autogenous cancellous bone graft wrapped by femoral fascia in treatment upper limb defects.

Methods From June 2011 to December 2016, 12 patients with defects were treated wrapping internal fixation. Bone defect site: 3 cases humerus, 5 radius, 4 ulna. The length ranged from 2.5 6.0 cm, an average 4.0 cm.

Results Delayed wound healing occurred 1 case complications 2 cases. All follow-up for 36 months 19 months. union all patients. clinical time months, 2.9 No delayed or nonunion occurred. rate was 100%. There no deep infection, fixation fracture re-fracture transplantation area. At last follow-up, function recovery evaluated DASH questionnaire. results rated as excellent 6 cases, good fair case.

Conclusion Femoral has abundant sources is convenient harvesting. Femoral effective small large segmental defects. It advantages simple operation, low cost, fast healing, high satisfactory functional recovery.

Key words: Upper extremity; Bone transplantation; Bone defects; Cancellous bone; Femoral