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J Hand Surg Am. 2018 Aug;43(8):755-761.e2. doi: 10.1016/j.jhsa.2018.03.055. Epub 2018 Jul 3.

Bone Graft Options in Upper-Extremity Surgery.

Author information

1
Department of Orthopaedic Surgery, Duke University Medical Center, Durham, NC. Electronic address: cklifto@gmail.com.
2
Department of Orthopaedics, William Beaumont Hospital, Royal Oak, MI.
3
Department of Orthopaedics, Hospital for Joint Diseases, NYU School of Medicine, New York, NY.

Abstract

Bone grafting in the upper extremity is an important consideration in patients with injuries or conditions resulting in missing bone stock. A variety of indications can necessitate bone grafting in the upper extremity, including fractures with acute bone loss, nonunions, malunions, bony lesions, and bone loss after osteomyelitis. Selecting the appropriate bone graft option for the specific consideration is important to ensure optimal patient outcomes. Considerations such as donor site morbidity and the amount and characteristics of bone graft needed all weigh in the decision making regarding which type of bone graft to use. This article reviews the options available for bone grafting in the upper extremity.

KEYWORDS:

Bone grafting; bone morphogenic protein; scaphoid nonunion; upper extremity; vascularized

PMID:
29980395
DOI:
10.1016/j.jhsa.2018.03.055

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