Biologic Augmentation of Foot and Ankle Arthrodeses with an Allogeneic Cancellous Sponge.

Publication/Presentation Date

3-1-2014

Abstract

This case series was conducted to assess the safety and efficacy of using an allogeneic cancellous bone sponge for augmentation of foot and ankle arthrodeses. Twenty-five patients were prospectively enrolled in the study prior to undergoing fusion and were then followed for 12 months postoperatively. There were 45 joints: 7 ankles, 12 subtalars, 12 talonaviculars, 6 calcaneocuboids, 1 naviculocuneiform, 6 first tarsometatarsals, and 1 second tarsometatarsal. Patient-reported outcomes of pain (visual analog scale) and function (American Orthopaedic Foot and Ankle Society score) were obtained preoperatively and postoperatively at 6 and 12 months. No complications were noted intraoperatively or during the follow-up period. Three months postoperatively, radiographic osseous union was noted in 52% (13/25) of patients, which further increased to 96% (24/25) of patients at 6 and 12 months. There was no statistically significant difference in union time between joints [H(6)=11.5; P=.08]. Statistically significant improvements in pain (P≤.002) and function (P

Volume

37

Issue

3

First Page

230

Last Page

236

ISSN

1938-2367

Disciplines

Orthopedics | Other Medical Specialties | Surgery

PubMedID

24762149

Peer Reviewed for front end display

Peer-Reviewed

Department(s)

Department of Surgery

Document Type

Article

Share

COinS