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Tibial tubercle elevation with bone grafts. A comparative study of autograft and allograft.

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Cornu, Olivier [UCL] de Halleux, J. [UCL] Banse, Xavier [UCL] Delloye, Christian [UCL]

We retrospectively investigated the fate of bone auto- and allografts in 64 patients who underwent a tibial tubercle elevation with bone graft. Half of them received an autograft and the other half, an allograft that had been processed and freeze-dried. The two groups had similar preoperative characteristics concerning age, sex and pathology. Roentgenograms were reviewed by three independent observers and scored for fusion, resorption and collapse. Clinical charts were analysed for different variables. The overall radiological score for both groups did not differ statistically. Comparison of graft fixation with one or two screws demonstrated more bone resorption in the case of a single-screw fixation. In such a case, the occurrence of a preoperative tubercle fracture had a significant adverse influence, due to a less stable fixation. From the clinical charts review, only the mean stay at hospital was significantly shorter when an allograft was performed. A bone allograft appears to be suitable to maintain an osteotomy but requires a more careful surgical technique fixation to obtain a similar result to an autograft.

Document type Article de périodique (Journal article) – Comparative Study, Journal Article
Access type Accès restreint
Publication date 1995
Journal information "Archives of orthopaedic and trauma surgery" - Vol. 114, no. 6, p. 324-9 (1995)
Peer reviewed yes
issn 0936-8051
Publication status Publié
Affiliation UCL - MD/CHIR - Département de chirurgie
MESH Subject Adolescent ; Adult ; Aged ; Bone Transplantation - methods ; Cartilage Diseases - surgery ; Female ; Freeze Drying ; Humans ; Male ; Middle Aged ; Retrospective Studies ; Tibia - surgery ; Transplantation, Autologous ; Transplantation, Homologous ; Treatment Outcome
Links
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Bibliographic reference Cornu, Olivier ; de Halleux, J. ; Banse, Xavier ; Delloye, Christian. Tibial tubercle elevation with bone grafts. A comparative study of autograft and allograft.. In: Archives of orthopaedic and trauma surgery, Vol. 114, no. 6, p. 324-9 (1995)
Permanent URL http://hdl.handle.net/2078.1/24443