Regresar

Use of spongy allograft in fractures and pseudoarthrosis in bone defects: Experience in the Luis Vernaza hospital

Abstract:

Bone grafts are frequently used in trauma surgeries, and sometimes it is necessary to use large amounts of bone for defects and pseudoarthrosis patients. There are few studies in Latin America that describe the results obtained with these new and promising orthopedic techniques, for which the purpose of this report is to describe a series of cases of patients with complicated fractures with bone defects that were submitted to heterologous graft in the Hospital Luis Vernaza, Guayaquil, Ecuador. A case series study of 17 patients admitted to the traumatology and orthopedic service of the Hospital Luis Vernaza was carried out. They underwent heterologous grafts during their hospitalization. The use of the autograft is easy to access and, it even is the less expensive. However, the most economical, and the one that has osteogenesis, os-teoconduction and osteoinduction properties. However, it is associated with a high degree of morbidity, with a limitations in the amount to be extracted, and with the presence of complications, such as pain, nerve injury or infection. In our patients, good results were shown with allografts in the majority, with a very low rate of complications. The use of allografts is increasingly common in orthopedic practice, since they have different capacities to activate bone formation.