Equis ISSN 2398-2977

Tibia: bone graft collection

Contributor(s): Stephen Adams, Carl Kirker-Head

Introduction

  • Cancellous bone grafts provide a fresh osteogenic, osteoinductive and osteoconductive resource where there is a deficit of functional bone.
  • Autogenous bone graft material is plentiful in the horse.

Uses

Advantages

  • Easy access in lateral and dorsal recumbency.
  • Wound is hidden from view.

Disadvantages

  • Risk of secondary fracture - use holes less than 5.5 mm and choose location carefully.
  • Limited amount of graft material available.
  • Absolute asepsis is essential.
  • Graft should be immediately available for application.

Requirements

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Preparation

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Procedure

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Aftercare

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Outcomes

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Prognosis

  • Good: depending on primary problem.

Further Reading

Publications

Refereed papers

  • Recent references from PubMed and VetMedResource.
  • O'Rielly J L et al (1998) Treatment of a chronic comminuted fracture of the fibula in a horse. JAVMA 212 (3), 396-398 PubMed.
  • Cassotis N J et al (1997) Use of full cortical allograft to repair a metatarsal fracture in a foal. JAVMA 211 (9), 1155-1157 PubMed.
  • Honnas C M et al (1995) Use of autogenous cancellous bone grafting in the treatment of septic navicular bursitis and distal sesamoid osteomyelitis in horses. JAVMA 206 (8), 1191-1194 PubMed.
  • Hanie E A et al (1992) Comparions of two grafting methods in a 4.0 mm drill defects in the third metacarpal bone of horses. Equine Vet J 24 (5), 387-390 PubMed.
  • Jackman B R et al (1992) Treatment of a mandibular bone cyst by use of a corticocancellous bone graft in a horse. JAVMA 201 (6), 892-894 PubMed.
  • Henninger R W et al (1991) Lag screw and cancellous bone graft fixation of transverse proximal sesamoid bone fractures in horses: 25 cases (1983-1989). JAVMA 199 (5), 606-612 PubMed.
  • Boero M J et al (1989) Evaluation of the tibia as a source of autogenous cancellous bone in the horse. Vet Surg 18 (4), 322-327 PubMed.

Other sources of information

  • Markel M (1996)Bone grafts and bone substitutes.In:Equine Fracture Repair.Ed. A J Nixon. W B Saunders, Philadelphia. ISBN 0 7216 6754 6.


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