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Role of percutaneous autologous bone marrow grafting in non-union tibia
JSP-Journal of Surgery Pakistan International. 2013; 18 (2): 92-96
in English | IMEMR | ID: emr-148390
ABSTRACT
To evaluate the efficacy of percutaneous autologous bone marrow grafting in patients with tibial diaphyseal non-union. Descriptive case series. Orthopaedic Surgery Unit, Mardan Medical Complex Teaching Hospital, Bache Khan Medical College Mardan, from March 2011 to October 2012. Fifteen patients [mean age 41.6 year] with tibial non-union were treated with a single percutaneous autologous bone marrow injection. The bone marrow was aspirated from the anterior iliac crest and injected at fracture site. The procedure was carried out under general or spinal anesthesia. The patients were followed up after every four weeks and the rate of healing was assessed clinically as well as radiologically. Union Scale Score was used to assess the progress of union. A score of six or more was considered as sound union. Majority [73.3%, n=11] of the patients achieved a solid union after an average period of 14 weeks [range 12-20 weeks]. Four [26.6%] patients however could not achieve union. The average time duration between the procedure and injury was 37 weeks [range 36-40 weeks]. The average pre injection Union Scale Score was 2 [0-3]. The mean Union Scale Score at the end of study was 5.8 [0-7] and in united cases it was 6.4 [6-7]. Percutaneous autologous bone marrow injection provided an effective safe and easy bone grafting in non-union tibia
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Index: IMEMR (Eastern Mediterranean) Main subject: Tibial Fractures / Fractures, Ununited Limits: Female / Humans / Male Language: English Journal: J. Surg. Pak. Int. Year: 2013

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Index: IMEMR (Eastern Mediterranean) Main subject: Tibial Fractures / Fractures, Ununited Limits: Female / Humans / Male Language: English Journal: J. Surg. Pak. Int. Year: 2013