sandwich allografts for long-bone nonunions in patients with osteogenesis imperfecta by varun...

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 AmVolume 97(4):318-325

February 18, 2015

Exposure of the nonunion site.

Varun Puvanesarajah et al. J Bone Joint Surg Am 2015;97:318-325

Creation of allograft struts.

Fitting of allograft struts within wound envelope and securing of the construct with wires (left) or screws (right).

Preoperative internal rotation radiograph showing a large nonunion gap.

Radiograph made one day after the procedure, showing the extent of the construct.

Radiograph made four years and seven months after the procedure, at last follow-up, showing incorporation of the allograft medially and laterally.

Original deformity before surgical correction.

Preoperative radiograph showing two nonunions.

Immediate postoperative radiograph showing the extent of the construct.

Radiograph made 6.5 years after surgery, showing incorporation of the allograft and healing of the nonunion.

Preoperative radiograph showing the nonunion.

Radiograph made 1.5 months after the procedure, showing the extent of the construct.

Radiograph made two years after surgery, showing allograft incorporation and healing of the nonunion.

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