ROLE OF BONE GRAFTS AND BONE GRAFT SUBSTITUTES IN ISOLATED SUBTALAR JOINT ARTHRODESIS.
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2017-09
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Abstract
Objectives
The purpose of this study was to compare union rates for isolated subtalar arthrodesis with and without the use of bone grafts or bone graft substitutes.Methods
We retrospectively reviewed 135 subtalar fusions with a mean follow-up of 18 ± 14 months. The standard approach was used for all surgeries. Graft materials included b-tricalcium phosphate, demineralized bone matrix, iliac crest autograft and allograft, and allograft cancellous chips. Successful subtalar fusion was determined clinically and radiographically.Results
There was an 88% (37/42) union rate without graft use and an 83% (78/93) union rate with bone graft use. Odds ratio of union for graft versus no graft was 0.703 (95% CI, 0.237-2.08). The average time to union in the graft group was 3 ± 0.73 months and 3 ± 0.86 in the non-graft group, with no statistically significant difference detected (p = 0.56).Conclusion
Graft use did not improve union rates for subtalar arthrodesis. Level of Evidence IV, Case Series.Type
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Shah, Ashish, Sameer Naranje, Ibukunoluwa Araoye, Osama Elattar, Alexandre Leme Godoy-Santos and Cesar DE Cesar (2017). ROLE OF BONE GRAFTS AND BONE GRAFT SUBSTITUTES IN ISOLATED SUBTALAR JOINT ARTHRODESIS. Acta ortopedica brasileira, 25(5). pp. 183–187. 10.1590/1413-785220172505177665 Retrieved from https://hdl.handle.net/10161/27441.
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