Autogenous Bone Graft Combined with the Use of the SFS

Abstract

The use of cancellous or corticocancellous grafts is often indicated in treating injuries of the peripheral skeleton. With increasing experience, accepted indications for their use have increased in recent years: Besides the classic indications — to fill up bony defects and to give support in comminuted areas, especially in open fractures in the distal tibia and lower radius etc. — attention has been directed to their use in small defects of biomechanical importance, e.g. the end of the radius, the base of the first metacarpal, the talus and the metatarsals. The cancellous bone graft considerably accelerates bone healing and helps to prevent displacement and loosening of implants. Using bone grafts together with metal implants increases the biological potency of the operation and its stabilizing effect considerably by buttressing a fracture area when filling up a defect and by increasing the hold of screws in the grafted bone.