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Published byElijah Lloyd Modified over 9 years ago
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by Varun Puvanesarajah, Jay R. Shapiro, and Paul D. Sponseller
Sandwich Allografts for Long-Bone Nonunions in Patients with Osteogenesis Imperfecta by Varun Puvanesarajah, Jay R. Shapiro, and Paul D. Sponseller J Bone Joint Surg Am Volume 97(4): February 18, 2015 ©2015 by The Journal of Bone and Joint Surgery, Inc.
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Exposure of the nonunion site.
Varun Puvanesarajah et al. J Bone Joint Surg Am 2015;97: ©2015 by The Journal of Bone and Joint Surgery, Inc.
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Creation of allograft struts.
Creation of allograft struts. Dashed lines indicate cutting planes (left). Further contouring and beveling occur after cuts are placed (right). Varun Puvanesarajah et al. J Bone Joint Surg Am 2015;97: ©2015 by The Journal of Bone and Joint Surgery, Inc.
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Fitting of allograft struts within wound envelope and securing of the construct with wires (left) or screws (right). Fitting of allograft struts within wound envelope and securing of the construct with wires (left) or screws (right). Varun Puvanesarajah et al. J Bone Joint Surg Am 2015;97: ©2015 by The Journal of Bone and Joint Surgery, Inc.
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Preoperative internal rotation radiograph showing a large nonunion gap.
Varun Puvanesarajah et al. J Bone Joint Surg Am 2015;97: ©2015 by The Journal of Bone and Joint Surgery, Inc.
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Radiograph made one day after the procedure, showing the extent of the construct.
Varun Puvanesarajah et al. J Bone Joint Surg Am 2015;97: ©2015 by The Journal of Bone and Joint Surgery, Inc.
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Radiograph made four years and seven months after the procedure, at last follow-up, showing incorporation of the allograft medially and laterally. Radiograph made four years and seven months after the procedure, at last follow-up, showing incorporation of the allograft medially and laterally. Varun Puvanesarajah et al. J Bone Joint Surg Am 2015;97: ©2015 by The Journal of Bone and Joint Surgery, Inc.
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Original deformity before surgical correction.
Varun Puvanesarajah et al. J Bone Joint Surg Am 2015;97: ©2015 by The Journal of Bone and Joint Surgery, Inc.
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Preoperative radiograph showing two nonunions.
Varun Puvanesarajah et al. J Bone Joint Surg Am 2015;97: ©2015 by The Journal of Bone and Joint Surgery, Inc.
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Immediate postoperative radiograph showing the extent of the construct.
Varun Puvanesarajah et al. J Bone Joint Surg Am 2015;97: ©2015 by The Journal of Bone and Joint Surgery, Inc.
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Radiograph made 6.5 years after surgery, showing incorporation of the allograft and healing of the nonunion. Radiograph made 6.5 years after surgery, showing incorporation of the allograft and healing of the nonunion. Varun Puvanesarajah et al. J Bone Joint Surg Am 2015;97: ©2015 by The Journal of Bone and Joint Surgery, Inc.
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Preoperative radiograph showing the nonunion.
Varun Puvanesarajah et al. J Bone Joint Surg Am 2015;97: ©2015 by The Journal of Bone and Joint Surgery, Inc.
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Radiograph made 1.5 months after the procedure, showing the extent of the construct.
Varun Puvanesarajah et al. J Bone Joint Surg Am 2015;97: ©2015 by The Journal of Bone and Joint Surgery, Inc.
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Radiograph made two years after surgery, showing allograft incorporation and healing of the nonunion. Radiograph made two years after surgery, showing allograft incorporation and healing of the nonunion. Varun Puvanesarajah et al. J Bone Joint Surg Am 2015;97: ©2015 by The Journal of Bone and Joint Surgery, Inc.
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