Minimally Invasive Technique For Delayed union Or Nonunion #Tibia: The Use Of Percutaneous Autologous Bone Marrow Injection

Vol 35 | Issue 3 | September-December 2020 | page: 3-6 | Aman Saini, Sumit Kumar, Himanshu Bansal, Sanjeev Sareen


Authors: Aman Saini [1], Sumit Kumar [1], Himanshu Bansal [1], Sanjeev Sareen [1]

[1] Department of orthopaedics, Govt. Medical college and Hospital, Patiala, Punjab, India.

Address of Correspondence
Dr. Sumit Kumar.
Department of orthopaedics, Govt. Medical college and Hospital, Patiala, Punjab, India.
E-mail: sumitsjh@gmail.com


Abstract

Context: Fracture heals by a specialized process in which bone regenerates by restoring the integrity of skeletal tissue. In non-union fracture healing cascade has ceased and it’ll not progress without an intervention. Autologous bone marrow grafts are regarded as gold standard for treating non-unions. Recently there has been a trend a towards lesser invasive techniques in which bone marrow can be aspirated from iliac bone by aspiration needle and is administered percutaneously at non union site.
Material and Methods: 30 cases of post-traumatic delayed union and non-union of fracture tibia with internal fixation having abnormal mobility without infection were included in the study. Baseline RUST scoring was calculated for each fracture and bone marrow aspirate injections were given at fracture site by percutaneous route.
Result: On the premise of final RUST and clinical analysis, union in 23(76.67%) fractures was achieved by autologous bone marrow injections by percutaneous route whereas 7(23.33%) cases did not responded even after three attempts of procedure. The complications of the procedure are negligible and it is safe. The mean time of radiological union in our study was fourteen weeks with a range of 11-22 weeks.
Conclusion: On the basis of our results and observations within the study we are able to conclude that autologous bone marrow injection is an efficient method compared to traditional open bone grafting with less invasive technique and be performed as out-patient procedure undern local anesthesia. It is cheap and safe with negligible complication rate at donor or recipient graft site.
Keywords: Non-Union, Fractures, Autologous, bone marrow, Tibia.


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How to Cite this Article:  Saini A, Kumar S, Bansal H, Sareen S | Minimally Invasive Technique For Delayed union Or Nonunion #Tibia: The Use Of Percutaneous Autologous Bone Marrow Injection | Journal of Bone and Joint Diseases | September-December 2020; 35(3): 3-6.

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