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Open Access 01-12-2021 | Bone Defect | Review

Strategies for large bone defect reconstruction after trauma, infections or tumour excision: a comprehensive review of the literature

Authors: Filippo Migliorini, Gerardo La Padula, Ernesto Torsiello, Filippo Spiezia, Francesco Oliva, Nicola Maffulli

Published in: European Journal of Medical Research | Issue 1/2021

Abstract

Large bone defects resulting from musculoskeletal tumours, infections, or trauma are often unable to heal spontaneously. The challenge for surgeons is to avoid amputation, and provide the best functional outcomes. Allograft, vascularized fibular or iliac graft, hybrid graft, extracorporeal devitalized autograft, distraction osteogenesis, induced-membrane technique, and segmental prostheses are the most common surgical strategies to manage large bone defects. Given its optimal osteogenesis, osteoinduction, osteoconduction, and histocompatibility properties, along with the lower the risk of immunological rejection, autologous graft represents the most common used strategy for reconstruction of bone defects. However, the choice of the best surgical technique is still debated, and no consensus has been reached. The present study investigated the current reconstructive strategies for large bone defect after trauma, infections, or tumour excision, discussed advantages and disadvantages of each technique, debated available techniques and materials, and evaluated complications and new perspectives.

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Title: Strategies for large bone defect reconstruction after trauma, infections or tumour excision: a comprehensive review of the literature
Authors: Filippo Migliorini
Gerardo La Padula
Ernesto Torsiello
Filippo Spiezia
Francesco Oliva
Nicola Maffulli
Publication date: 01-12-2021
Publisher: BioMed Central
Keyword: Bone Defect
Published in: European Journal of Medical Research / Issue 1/2021
Electronic ISSN: 2047-783X
DOI: https://doi.org/10.1186/s40001-021-00593-9

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Strategies for large bone defect reconstruction after trauma, infections or tumour excision: a comprehensive review of the literature

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