INTRODUCTION: Large bone defects are commonly caused by severe traumas, pseudoarthrosis and tumors. Managing large bone defects remains a challenging problem, requiring complex and multidisciplinary treatment. EVIDENCEACQUISITION: We searched terms on PubMed, Google Scholar and the Cochrane library from inception until December 2020. The search strategy was a combination of medical, subjective and methodological keywords. EVIDENCESYNTHESIS: Several techniques have been described for the management of bone defects: intramedullary nailing, transosseus compression distraction osteosynthesis, Masquelet technique, bone grafting. CONCLUSIONS: Post-traumatic bone defects are one of the most challenging orthopedic conditions to treat. The decision to proceed with reconstruction and the techniques to use should be evaluated on an individual basis, with treatment tailored according to patient and fracture characteristics.
The management of post-traumatic bone defects: a systematic review
Vicenti G.;Ottaviani G.;Bizzoca D.;Simone F.;Zavattini G.;Elia R.;Maruccia M.;Solarino G.;Moretti B.
2022-01-01
Abstract
INTRODUCTION: Large bone defects are commonly caused by severe traumas, pseudoarthrosis and tumors. Managing large bone defects remains a challenging problem, requiring complex and multidisciplinary treatment. EVIDENCEACQUISITION: We searched terms on PubMed, Google Scholar and the Cochrane library from inception until December 2020. The search strategy was a combination of medical, subjective and methodological keywords. EVIDENCESYNTHESIS: Several techniques have been described for the management of bone defects: intramedullary nailing, transosseus compression distraction osteosynthesis, Masquelet technique, bone grafting. CONCLUSIONS: Post-traumatic bone defects are one of the most challenging orthopedic conditions to treat. The decision to proceed with reconstruction and the techniques to use should be evaluated on an individual basis, with treatment tailored according to patient and fracture characteristics.I documenti in IRIS sono protetti da copyright e tutti i diritti sono riservati, salvo diversa indicazione.
