Comparing Morbidities of Bone Graft Harvesting from the Olecranon Process and the Distal Radius

摘要: Autogenous bone is arguably the best source for grafting in upper extremity given inherent osteogenic, osteoconductive, and osteoinductive properties of living bone.1 The transferred tissue does not incite an immune reaction, procedure carries no intrinsic risk transmissible disease. iliac crest can be abundant most procedures elbow, forearm, wrist, hand. However, there are potential complications with obtaining graft from this site, including chronic pain, infection, hematoma, incisional hernia, fracture, disturbed sensation.1–6 Recalcitrant donor-site pain has been reported to occur up 25% patients after harvesting.3,6 The olecranon process (OP) distal radius (DR) convenient sources harvesting operations ipsilateral extremity. A comparable amount packed cancellous obtained either region.7,8 Donor-site complication rates ranging 1% 8% have a large series DR grafts procedures.9–11 Reports OP comprised smaller numbers patients, but similar 0% 9%.9,12–16 There conceivable scenarios where one may preferred over other source. For example, autogenous required treatment displaced scaphoid fracture would than adjacent (eg, OP) when concomitant DR. To our knowledge, comparative studies evaluating morbidities among undergoing or Furthermore, techniques methodologies assessing outcomes discordant published reports. purpose study compare between who underwent using uniform surgical outcome measures.