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Percutaneous autogenous bone marrow injection for delayed union or non-union of long bone fractures after internal fixation()

OBJECTIVES: The aim of this study was to assess the results of percutaneous injection of autologous bone marrow in the treatment of fractures presenting with delayed union or non-union after internal fixation. METHODS: This prospective study was carried out at the Orthopeedics Department from June 2...

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Autor principal: Sahu, Ramji Lal
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2017
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6204543/
https://www.ncbi.nlm.nih.gov/pubmed/30377598
http://dx.doi.org/10.1016/j.rboe.2017.09.004
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author Sahu, Ramji Lal
author_facet Sahu, Ramji Lal
author_sort Sahu, Ramji Lal
collection PubMed
description OBJECTIVES: The aim of this study was to assess the results of percutaneous injection of autologous bone marrow in the treatment of fractures presenting with delayed union or non-union after internal fixation. METHODS: This prospective study was carried out at the Orthopeedics Department from June 2005 to June 2010. A total of 93 patients with delayed union and non-union (56 delayed unions and 37 non-unions) of the long bone were recruited from the Emergency and Outpatient Departments and treated with percutaneous autologous bone marrow injections. The clinical results of this study were rated on the basis of the criteria of union. All patients were followed for 24 months. RESULTS: All the fractures (delayed union and non-union) were united within 12 weeks. Most of the patients had discomfort at the donor site for few days; none had problems of persistent pain. The results were excellent in 68.81% (64/93) of cases, good in 19.35% (18/93) of cases, and poor in 11.82% (11/93) of cases. CONCLUSION: Percutaneous autologous bone marrow injection is an effective and safe method for the treatment of diaphyseal non-union and delayed union. Thus, it is concluded that with an adequate amount of autologous bone marrow injection, successful union in delayed union and non-union of fractures of long bones can be achieved.
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spelling pubmed-62045432018-10-30 Percutaneous autogenous bone marrow injection for delayed union or non-union of long bone fractures after internal fixation() Sahu, Ramji Lal Rev Bras Ortop Original Article OBJECTIVES: The aim of this study was to assess the results of percutaneous injection of autologous bone marrow in the treatment of fractures presenting with delayed union or non-union after internal fixation. METHODS: This prospective study was carried out at the Orthopeedics Department from June 2005 to June 2010. A total of 93 patients with delayed union and non-union (56 delayed unions and 37 non-unions) of the long bone were recruited from the Emergency and Outpatient Departments and treated with percutaneous autologous bone marrow injections. The clinical results of this study were rated on the basis of the criteria of union. All patients were followed for 24 months. RESULTS: All the fractures (delayed union and non-union) were united within 12 weeks. Most of the patients had discomfort at the donor site for few days; none had problems of persistent pain. The results were excellent in 68.81% (64/93) of cases, good in 19.35% (18/93) of cases, and poor in 11.82% (11/93) of cases. CONCLUSION: Percutaneous autologous bone marrow injection is an effective and safe method for the treatment of diaphyseal non-union and delayed union. Thus, it is concluded that with an adequate amount of autologous bone marrow injection, successful union in delayed union and non-union of fractures of long bones can be achieved. Elsevier 2017-12-29 /pmc/articles/PMC6204543/ /pubmed/30377598 http://dx.doi.org/10.1016/j.rboe.2017.09.004 Text en © 2017 Sociedade Brasileira de Ortopedia e Traumatologia. Published by Elsevier Editora Ltda. http://creativecommons.org/licenses/by-nc-nd/4.0/ This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).
spellingShingle Original Article
Sahu, Ramji Lal
Percutaneous autogenous bone marrow injection for delayed union or non-union of long bone fractures after internal fixation()
title Percutaneous autogenous bone marrow injection for delayed union or non-union of long bone fractures after internal fixation()
title_full Percutaneous autogenous bone marrow injection for delayed union or non-union of long bone fractures after internal fixation()
title_fullStr Percutaneous autogenous bone marrow injection for delayed union or non-union of long bone fractures after internal fixation()
title_full_unstemmed Percutaneous autogenous bone marrow injection for delayed union or non-union of long bone fractures after internal fixation()
title_short Percutaneous autogenous bone marrow injection for delayed union or non-union of long bone fractures after internal fixation()
title_sort percutaneous autogenous bone marrow injection for delayed union or non-union of long bone fractures after internal fixation()
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6204543/
https://www.ncbi.nlm.nih.gov/pubmed/30377598
http://dx.doi.org/10.1016/j.rboe.2017.09.004
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