J Korean Orthop Assoc.  1974 Jun;9(2):149-156. 10.4055/jkoa.1974.9.2.149.

Barrel Stave Cancellous Bone Grafting for Delayed Union and Non-union of the Long Bone Fractures

• Kim KH
• Kim SJ
• Oh SH
• Kal YS

• KMID: 2471498
• DOI: http://doi.org/10.4055/jkoa.1974.9.2.149

Abstract

Delayed union and non-union of the long bone fractures were often confronted to the surgeon during fracture treatment. In this paper. 44 cases of delayed and non-union of the long bone fractures treated by Barrel Stave type cancellous bone grafting during period of July, 1963 to June 1973 were considered. The results were summarized as follows: 1) Delayed and non-union of the long bone fractures were most commonly occur in men age between 20 and 40. 2) After Barrel stave cancellous grafting with metallic fixation, average interval of graft healing was 18 weeks. But without metallic fixation, 16 weeks was noted. 3) After Barrel Stave cancellous grafting, 90% of the fractures were united within 24 weeks. 4) We experienced 8 cascs of postoperative complications (18%) in which 2 cases of wound infection. 1 case of case of osteomyelitis and 5 case of delayed union.

MeSH Terms

Bone Transplantation*
Fractures, Bone*
Humans
Male
Osteomyelitis
Postoperative Complications
Transplants
Wound Infection

Reference

1. Anderson H.O.Iliac bone used as Barrel Stave grafts for Non-union. J. of the Kansas medical society. 54:316. 1953.

2. Aubigne M. D.. Quoted from Surgical Treatment of the Non-union of long bones:. J. Bone and Joint Surg. 31-A:256–266. 1949.

3. Boyd H.B., et alObservation on Nonunion of the shafts of the long bones with statistical analysis of 842 patients. J. Bone and Joint Surg. 43-A:159–168. 1961.

4. Boyd H.B.Treatment of ununited fractures of the long bones. J. Bone and Joint Surg. 47 A:1. 1965.

5. Boyd H.B.Delayed union and nonunion of the fractures. Campbell's Operative Orthopedics. 5th edition. 750:Mosvy Co;1971.

6. Bruunen J.Nonunion of the shaft of the long bones. J. A. M. A. eb. 26 Vol. 203(No. 9):1968.

7. Harilaos T.Delayed union and nonunion of the tibia shaft fracture. J. Bone and Joint Surg. 46-A:557–569. 1964.

8. Jones K.G., Barnett H. G.Cancellous bone grafting for nonunion of the tibia through posterolateral approach. J. Bone and Joint Surg. 37-A:1250. 1955.

9. . Surgical treatment and technique of Nonunion. J. Bone and Joint Surg. 47-A:167. 1965.

10. Ray R.D.Delayed union and nonunion of fractures. J. Bone and Joint Surg. 46-A:627–1964.

11. Iliac inlay-on-edge bone graft. J. Bone and Joint Surg. 50-A:1410. 1968.

12. Sorensen K.H.Treatment of delayed union and nonunion of the tibia by fibular resection. Acta. Orthp. Scandinav. 40:92–104. 1969.

13. Souter W.A.Cancellous bone grafting. J. Bone and Joint Surg. 49-B:188. 1967.

14. Souter W.A.Autogenous cancellous strip graft in the treatment of delayed union of long bone fractures. J. Bone and Joint Surg. 51-B:63–63. 1969.

15. Urist M.R.Quoted from The pathogenesis and treatment of delayed union and nonunion. J. Bone and Joint Surg. 36-A:931–968. 1954.

16. . Transplantation of bone. Fractures & Joint injuries. 4th edition. Vol. 1:Williams & Willkins Co;288–339. 1962.

17. Wray J.B.Factors in the pathogenesis of nonunion. J. Bone and Joint Surg. 47-A(No. 1):1965.

18. Wilson J.N.Cancellous strip bone grafting. J. Bone and Joint Surg. 39-A:585. (No. 3):1957.