Bone Graft Harvest Using a New Intramedullary System

Obtaining autogenous bone graft from the iliac crest can entail substantial morbidity. Alternatively, bone graft can be harvested from long bones using an intramedullary (IM) harvesting system. We measured bone graft volume obtained from the IM canals of the femur and tibia and documented the compli...

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Bibliographic Details
Published in:Clinical orthopaedics and related research 2008-12, Vol.466 (12), p.2973-2980
Main Authors: Belthur, Mohan V., Conway, Janet D., Jindal, Gaurav, Ranade, Ashish, Herzenberg, John E.
Format: Article
Language:English
Subjects:
Adolescent
Adult
Aged
Bone Transplantation - methods
Bones
Conservative Orthopedics
Female
Femoral Fractures - surgery
Femur - diagnostic imaging
Femur - transplantation
Humans
Male
Medicine
Medicine & Public Health
Middle Aged
Orthopedics
Radiography
Retrospective Studies
Sports Medicine
Surgery
Surgical Orthopedics
Symposium: Advances in Limb Lengthening and Reconstruction
Tibia - transplantation
Tibial Fractures - surgery
Tissue and Organ Harvesting - methods
Transplantation, Autologous
Young Adult
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Summary:Obtaining autogenous bone graft from the iliac crest can entail substantial morbidity. Alternatively, bone graft can be harvested from long bones using an intramedullary (IM) harvesting system. We measured bone graft volume obtained from the IM canals of the femur and tibia and documented the complications of the harvesting technique. Donor site pain and the union rate were compared between the IM and the traditional iliac crest bone graft (ICBG) harvest. Forty-one patients (23 male, 18 female) with an average age of 44.9 years (range, 15–78 years) had graft harvested from long bones using an IM harvest system (femoral donor site, 37 patients; tibial donor site, four patients). Forty patients (23 male, 17 female; average age, 46.4 years; range, 15–77 years) underwent anterior ICBG harvest. We administered patient surveys to both groups to determine pain intensity and frequency. IM group reported lower pain scores than the ICBG group during all postoperative periods. Mean graft volume for the IM harvest group was 40.3 mL (range, 25–75 mL) (graft volume was not obtained for the ICBG group). Using an intramedullary system to harvest autogenous bone graft from the long bones is safe provided a meticulous technique is used. Level of Evidence: Level III, retrospective comparative study. See the Guidelines for Authors for a complete description of levels of evidence.
ISSN:0009-921X
1528-1132
DOI:10.1007/s11999-008-0538-3