Abstract

RODRIGUEZ MANTILLA, EDELBERTO. Far intramedullary bone grafts in pseudoarthrosis. Rev Cubana Ortop Traumatol [online]. 1997, vol.11, n.1-2, pp. 56-60. ISSN 1561-3100.

Six patients with avital pseudoarthrosis, 5 in tibia and 1 in peroneus, with an average evolution of pseudoarthrosis of 19 months, were treated at the "Ramón González Valencia" Teaching Hospital, in Bucaramanga, from February, 1992, to June, 1994. 2 patients had undergone 2 previous attempts of pseudoarthrosis correction each; 2, 1 each and the other 2, none. The surgical technique using autologous bone grafts, which are introduced by the medullar canal from the proximal and/or distal metaphysis to the pseudoarthrosis focus is described. Consolidation was attained in 5 cases in an average time of 16.8 weeks (the last one was operated on May 23, 1994). Five patients were managed post-operatively with a cast type Sarmiento; whereas an external fixative was used in the case of the humerus. Though the number of patients is very low, this procedure seems to be useful, since the graft is isolated from the exterior, it is implanted in a better vascular bed, and there are at least 2 ways to treat the pseudoarthrosis of the long bones, that may avoid the bloody areas or the zones grafted with skin and adhered to deep planes.

Keywords : BONE TRANSPLANTATION [methods]; PSEUDARTHROSIS [surgery]; TIBIAL FRACTURES [surgery]; HUMERAL FRACTURES [surgery].