Bone graft is the process of transferring bone from one site to another

Bone graft may be obtained from the patient (autograft), another individual (allograft), or another species (xenograft).

Autograft can be cancellous, cortical or corticocancellous

TYPES OF AUTOGRAFTS 

• Nonvascularized bone graft …..For Defects less than 6 cm with a well vascularized bed, adequate soft tissue cover, and absence of infection 

Donor area… iliac bone, fibula, mandible, radius scalp etc

• Vascularized bone graft…… For Defects less than 6 cm, it remains alive and dynamic in its new site

Donor area… free fibula flap, free iliac bone graft, free radial bone graft etc

INDICATION OF BONE GRAFT 

Nonunion, Malunion, Segmental Bone Loss, As Space Filler Bony Reconstruction

FAQS

1. How long does it take to recover from a bone graft?

Recovery time depends on the injury or defect being treated and the size of the bone graft. It can take 3 to 6 months. One should avoid extreme exercise for up to 6 months

2. What are the signs of a failed bone graft?

Pain, inflammation, puss discharge, wound dehiscence

3. What setup is required for bone grafting?

The patient is required for bone grafting and usually the patient admits for two to three days.

 

Written by :  Dr. Afaq Saleem

Copyrights: Pakistan association of Plastic Surgeons