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A case report of membrane induction combined with RIA technique for the repair of distal humerus segmentary bone defect

Bone nonunion and bone defect are common postoperative complications in clinic. Membrane induction or Ilizarov technique is often used to repair bone defect. Autologous bone is often used for bone defect repair and reconstruction, and the anterior superior iliac spine, posterior superior iliac spine...

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Autores principales: Wang, Guoliang, Zhu, Zhenfeng, Lu, Shuaikun, Wang, Linhu, Gao, Hao, Fu, Congxiao, Ren, Jun, Liu, Xiang, Zhang, Yong, Zhang, Yunfei
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Frontiers Media S.A. 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10475521/
https://www.ncbi.nlm.nih.gov/pubmed/37670887
http://dx.doi.org/10.3389/fendo.2023.1150029
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author Wang, Guoliang
Zhu, Zhenfeng
Lu, Shuaikun
Wang, Linhu
Gao, Hao
Fu, Congxiao
Ren, Jun
Liu, Xiang
Zhang, Yong
Zhang, Yunfei
author_facet Wang, Guoliang
Zhu, Zhenfeng
Lu, Shuaikun
Wang, Linhu
Gao, Hao
Fu, Congxiao
Ren, Jun
Liu, Xiang
Zhang, Yong
Zhang, Yunfei
author_sort Wang, Guoliang
collection PubMed
description Bone nonunion and bone defect are common postoperative complications in clinic. Membrane induction or Ilizarov technique is often used to repair bone defect. Autologous bone is often used for bone defect repair and reconstruction, and the anterior superior iliac spine, posterior superior iliac spine or fibula bone is used as the donor area for bone extraction, but there are problems of donor area complications. In recent years, the development of bone marrow aspiration (RIA) has provided a new alternative way for the source of autogenous bone. We report a 48-year-old female patient with a comminuted supracondylar intercondylar fracture of the left humerus due to a car accident. After 8 months of emergency debridement and suture with Kirschner wire internal fixation, the fracture was found to be unhealed with extensive bone defects. We used membrane induction combined with RIA technology to repair and reconstruct the patients, and found good osteogenesis through late follow-up. In theory, membrane induction technique can realize the reconstruction of large segmental bone defects, but the scope of repair is often limited by the lack of autologous bone source. The emergence and development of RIA technology provides us with a new autologous bone donor area for bone repair and reconstruction surgery. It can provide a large amount of high-quality cancellar bone mud through minimally invasive means. Meanwhile, it can reduce patients’ pain, infection, fracture, aesthetics and other problems caused by iliac bone extraction, and shorten patients’ bed time. Maximize the preservation of the patient’s autologous bone source. For the first time in the world, we reported the combination of membrane induction technology and RIA technology in the treatment of segmental bone defects, providing a new idea for the treatment of bone defects.
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spelling pubmed-104755212023-09-05 A case report of membrane induction combined with RIA technique for the repair of distal humerus segmentary bone defect Wang, Guoliang Zhu, Zhenfeng Lu, Shuaikun Wang, Linhu Gao, Hao Fu, Congxiao Ren, Jun Liu, Xiang Zhang, Yong Zhang, Yunfei Front Endocrinol (Lausanne) Endocrinology Bone nonunion and bone defect are common postoperative complications in clinic. Membrane induction or Ilizarov technique is often used to repair bone defect. Autologous bone is often used for bone defect repair and reconstruction, and the anterior superior iliac spine, posterior superior iliac spine or fibula bone is used as the donor area for bone extraction, but there are problems of donor area complications. In recent years, the development of bone marrow aspiration (RIA) has provided a new alternative way for the source of autogenous bone. We report a 48-year-old female patient with a comminuted supracondylar intercondylar fracture of the left humerus due to a car accident. After 8 months of emergency debridement and suture with Kirschner wire internal fixation, the fracture was found to be unhealed with extensive bone defects. We used membrane induction combined with RIA technology to repair and reconstruct the patients, and found good osteogenesis through late follow-up. In theory, membrane induction technique can realize the reconstruction of large segmental bone defects, but the scope of repair is often limited by the lack of autologous bone source. The emergence and development of RIA technology provides us with a new autologous bone donor area for bone repair and reconstruction surgery. It can provide a large amount of high-quality cancellar bone mud through minimally invasive means. Meanwhile, it can reduce patients’ pain, infection, fracture, aesthetics and other problems caused by iliac bone extraction, and shorten patients’ bed time. Maximize the preservation of the patient’s autologous bone source. For the first time in the world, we reported the combination of membrane induction technology and RIA technology in the treatment of segmental bone defects, providing a new idea for the treatment of bone defects. Frontiers Media S.A. 2023-08-21 /pmc/articles/PMC10475521/ /pubmed/37670887 http://dx.doi.org/10.3389/fendo.2023.1150029 Text en Copyright © 2023 Wang, Zhu, Lu, Wang, Gao, Fu, Ren, Liu, Zhang and Zhang https://creativecommons.org/licenses/by/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
spellingShingle Endocrinology
Wang, Guoliang
Zhu, Zhenfeng
Lu, Shuaikun
Wang, Linhu
Gao, Hao
Fu, Congxiao
Ren, Jun
Liu, Xiang
Zhang, Yong
Zhang, Yunfei
A case report of membrane induction combined with RIA technique for the repair of distal humerus segmentary bone defect
title A case report of membrane induction combined with RIA technique for the repair of distal humerus segmentary bone defect
title_full A case report of membrane induction combined with RIA technique for the repair of distal humerus segmentary bone defect
title_fullStr A case report of membrane induction combined with RIA technique for the repair of distal humerus segmentary bone defect
title_full_unstemmed A case report of membrane induction combined with RIA technique for the repair of distal humerus segmentary bone defect
title_short A case report of membrane induction combined with RIA technique for the repair of distal humerus segmentary bone defect
title_sort case report of membrane induction combined with ria technique for the repair of distal humerus segmentary bone defect
topic Endocrinology
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10475521/
https://www.ncbi.nlm.nih.gov/pubmed/37670887
http://dx.doi.org/10.3389/fendo.2023.1150029
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