Treatment Outcomes of Fracture Tibia with Bone Loss

Abstract

Background: Fracture tibias with bone losses are common. Bone loss can delay bone healing time. Defect filling with bone graft or other adjuncts can improve the healing rate. The aims of this study were to compare the result of defect filling with autogenous bone graft or freezedried allograft in fracture tibia with bone loss.
Methods: A retrospective study review of twelve patients (7 males and 5 females) who had fracture tibia with bone loss in Sunpasittiprasong Hospital were include in this study. The treatment comprises of debridement, fill bone defect with bone graft, and internal fixation. We compare the time to union between freeze-dried allograft group and autogenous bone graft group.
Results: There was no statistically significant difference in time to union between freeze-dried allograft group and autogenous bone graft group (P = 0.145). There was also no significant difference in time to union between intramedullary nails and plate & screw fixation (P= 0.073).
Conclusions: Both autogenous bone graft and freeze-dried allograft produced equal outcomes for treatment of fracture tibial with bone loss.