109 Mahan

نویسندگان

  • T. MAHAN
  • HOWARD J. HILLSTROM
چکیده

109 Bone grafting is an important aspect of foot and ankle surgery.1 Despite the long history and widespread use of bone grafts and substitutes,2 there have been few studies documenting patterns of utilization of bone grafting by podiatric surgeons. A survey on the use of bone grafts among orthopedists was reported in 1984 by Miller et al.3 The present study was undertaken in order to determine patterns of utilization of bone grafts in foot and ankle surgery. In particular, this study was designed to demonstrate how indications for allogeneic bone and autogenous bone have changed and to examine the effectiveness of bone grafts for specific foot and ankle conditions. Bone grafting can be used for many surgical procedures. Facilitation of fusion, repair of nonunions (Fig. 1),4 and packing of cysts are all common reasons for bone-graft surgery. Reconstructive surgical procedures often require bone grafts (Fig. 2).5 Lengthening procedures for repair of brachymetatarsia (Fig. 3)6 and opening wedge procedures such as cuneiform osteotomies are other examples of procedures using bone grafts (Fig. 4).7 Surgeons can choose from many different materials, although only a few are commonly used. An increasing number of choices are available to surgeons, including various forms of autogenous bone,8 allogeneic bone,9 and bone substitutes.10 These choices obligate the surgeon to be familiar with the biology and biomechanics of these materials. Bone grafts are classified by standard transplantation terminology.11 Autogenous bone is procured Bone Grafting in Foot and Ankle Surgery A Review of 300 Cases

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تاریخ انتشار 2001