ROLE OF COMPOSITE BONE GRAFT VERSUS AUTOGRAFT FOR BRIDGING BONE DEFECT

Dr Rahul Madhukar Salunkhe; Dr Sachin Changdeo Sonawane; Dr (col) Samar Kumar Biswas; Dr Jay Janakbhai Patel; Dr Sumeet Kumar; Dr Vikas Singh Rawat

Volume : V, Issue : IX, September - 2016

ROLE OF COMPOSITE BONE GRAFT VERSUS AUTOGRAFT FOR BRIDGING BONE DEFECT

Dr Rahul Madhukar Salunkhe, Dr Sachin Changdeo Sonawane, Dr Col Samar Kumar Biswas, Dr Jay Janakbhai Patel, Dr Sumeet Kumar, Dr Vikas Singh Rawat

Abstract :

Introduction : In literature, autograft is quite helpful in cases of non union, mal-union, bone tumours and pathological fractures but it is associated with donor site morbidity and is not available in large quantities to idge the large defect so aim of the study is to compare outcomes of composite bone graft and autografts in patients with non-union, malunion, bone tumour, pathological fractures. Methods: It was a prospective study in which total 50 patients were included. In 25 patients composite bone graft was used and in another 25 patients autograft was used along with internal or external fixation. Composite bone graft was prepared using hydroxyapatite, tri-calcium phosphate and bone marrow. Patients were divided in two groups. Group A had 14 males and 11 females and Group B had 16 males and 9 females . Results: Results were evaluated using un-paired T test. tcalc = 1.743 ≥ ttab = 1.684. Discussion : Composite bone grafts is important addition in the armamentarium for surgical treatment of pathological fractures, traumatic bone loss and in cases where fusion is required with no donor site morbidity.