Role of prophylactic autologous bone marrow aspirate injection in accelerating union and rehabilitation in long bone fractures in surgically unfit patients
Journal Title: International Journal of Orthopaedics Sciences - Year 2017, Vol 3, Issue 1
Abstract
Background: Autologus Bone grafting is a commonly performed second surgery in non-union of operated long bones fractures. In some patients surgery is not possible because of anaesthetic complications and other co-mobid conditions, a simple plaster immobilisation may not be sufficient. a simple bone marrow aspiration and fracture site injection would be an alternate to bone graft in these patients. Materials and Methods: This Study included 50 patients divided into two groups A and B, 25 in each group, having fractures of long bones except femur managed with closed reduction and cast application. 13 patients of group A and 14 of B had poor prognosis for union. Group A were treated with immobilisation alone and Group B treated with Immobilisation and Bone marrow aspirate injection. Results: 30.77% patients of poor prognosis attained union at 6 months without Bone marrow aspirate injections(Group A) and 92.86% patients attained union with Bone marrow aspirate injections (Group B). Patients in Group A on an average took 10.3 months to perform full weight bearing whereas Patients in Group B took 6.8 months. Discussion: Bone marrow aspirate injection definitely increase the union rates and decrease the period of immobilisation in long bone fractures. It can be a blessing in patients with medical limitation to surgery. Conclusion: Bone marrow aspirate injection definitely increase the union rates and decrease the period of immobilisation in long bone fractures managed conservatively It can be a blessing in patients with medical limitation to surgery.
Authors and Affiliations
Dhruv Sharma, Kuljit Kumar
Keywords
Related Articles
- EP ID EP499708
- DOI 10.22271/ortho.2017.v3.i1e.44
- Views 110
- Downloads 0
Management of fracture shaft of humerus by dynamic compression plate versus interlocking nail: A prospective comparative study
Background and purpose: Simple humeral shaft fracture can be treated non operatively, with good results in most cases but the non-operative treatment requires a long period of immobilization, which carries a risk of prol...
A systematic review: Of acromion types and its effect on degenerative rotator cuff tear
Background: Shoulder joint pain is commonly seen in primary care. Were many of them diagnosed with rotator cuff disease especially involvement of supraspinatus tendon of rotator cuff. The progression of disease leads to...
A prospective study on use of platelet rich plasma for treatment of plantar fasciitis
Background: Plantar fasciitis which is a common problem but conservative treatment often is not satisfactory, use of platelet rich plasma induces healing in plantar fasciitis. Aim: Efficacy of injection of intralesional...
Occurence of distal third shaft humerus fractures in adults
This study has been done to know the causes of occurrence of closed distal third shaft of humerus fracture, in this study 20 patients of fresh fractures of distal shaft humerus studied between January 2015 to March 2016...
Incidence, ultrasound evaluation and outcome of syndesmotic injuries in patients with ankle sprain
Background and Objectives: Ankle sprain is one of the most common injuries in general population. Lateral ankle sprain make up a majority of these injuries and literature describes a high degree of success with quick ret...