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Graft-enhanced arthrodesis

A R Catanzariti1

  • 1Department of Surgery, Podiatry Hospital of Pittsburgh, PA, USA.

The Journal of Foot and Ankle Surgery : Official Publication of the American College of Foot and Ankle Surgeons
|September 1, 1996
PubMed
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This review covers bone grafting for foot and ankle arthrodesis, comparing graft types and discussing fixation methods to ensure bone healing and successful fusion.

Area of Science:

  • Orthopedic Surgery
  • Podiatric Medicine
  • Bone Grafting Techniques

Background:

  • Arthrodesis (joint fusion) in the foot and ankle often requires bone grafting to achieve solid union.
  • Understanding graft types and indications is crucial for successful surgical outcomes.

Purpose of the Study:

  • To review indications for bone grafting in foot and ankle arthrodesis.
  • To compare autografts and allografts, including the controversy surrounding allografts.
  • To discuss factors influencing fixation and surgical techniques for optimal bone consolidation.

Main Methods:

  • Literature review of bone graft use in foot and ankle arthrodesis.
  • Discussion of bone graft classification (autograft vs. allograft).
  • Analysis of clinical examples and surgical considerations.

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Main Results:

  • Bone grafting is indicated at various foot and ankle sites to enhance arthrodesis.
  • Autografts and allografts have distinct characteristics and applications, with ongoing debate regarding allograft use.
  • Selection of fixation devices and surgical techniques significantly impacts osseous consolidation and primary union.

Conclusions:

  • Appropriate bone graft selection and surgical technique are vital for successful foot and ankle arthrodesis.
  • Further research may clarify the optimal use of allografts in these procedures.
  • This review provides a comprehensive guide for surgeons utilizing bone grafts in foot and ankle fusion surgeries.